MEDICARE: MENTAL HEALTH PARTNERSHIPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1538399464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH PARTNERSHIPS

Provider Business Mailing Address
First Line	:	1211 CHESTNUT STREET
Second Line	:	FLOOR 11
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107
Country	:	US
Telephone Number	:	215-751-1800
Fax Number	:	215-636-6300

Provider Business Practice Location Address
First Line	:	2709 NORTH BROAD STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132
Country	:	US
Telephone Number	:	215-751-1800
Fax Number	:	215-636-6300

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MICHAEL BRODY
Credential	:
Telephone Number	:	267-507-3800

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	07/21/2022

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Directions to “MENTAL HEALTH PARTNERSHIPS ” Practice Location

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