# WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Consortium Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871756486
- **Authorized official:** MR. JOHN F WHITE JR. (PRESIDENT/CEO)
- **Authorized official phone:** (215) 596-8100

## Contact information

- **Practice address:** 2020 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3832
- **Practice address phone:** (215) 596-8100
- **Practice address fax:** (215) 382-4405
- **Mailing address:** 3801 MARKET STREET, 201, PHILADELPHIA, PA 19104-3153
- **Mailing address phone:** (215) 596-8100
- **Mailing address fax:** (215) 382-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/03/2008