| Advanced Behavioral Health Treatment Center, Inc. | |
|
542 N Lewis Rd Limerick PA 19468-3521 | |
| (610) 275-0345 | |
| (610) 275-0346 |
| Full Name | Advanced Behavioral Health Treatment Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 542 N Lewis Rd, Limerick, Pennsylvania |
| Authorized Official Name and Position | Muhammad Nadeem Shamsi (PRESIDENT) |
| Authorized Official Contact | 6102750345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Health Treatment Center, Inc. 542 N Lewis Rd Limerick PA 19468-3521 Ph: (610) 275-0345 | Advanced Behavioral Health Treatment Center, Inc. 542 N Lewis Rd Limerick PA 19468-3521 Ph: (610) 275-0345 |
| NPI Number | 1619379211 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Medicare PECOS PAC ID | 5890013205 |
|---|---|
| Medicare Enrollment ID | O20150415001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619379211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eloise M Roecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114025632 PECOS PAC ID: 1951400811 Enrollment ID: I20070823000012 |
| Provider Name | Sandra K Wiley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912911306 PECOS PAC ID: 8820165830 Enrollment ID: I20080917000202 |
| Provider Name | Agata H Kaminska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366544967 PECOS PAC ID: 5597782474 Enrollment ID: I20160215001859 |
| Provider Name | Ashley A Moser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144676115 PECOS PAC ID: 4688968886 Enrollment ID: I20160811000239 |
| Provider Name | Kelly A Stangl Meddaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265573596 PECOS PAC ID: 9739434028 Enrollment ID: I20180608000801 |
| Provider Name | Ashley M Fronheiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255779427 PECOS PAC ID: 2365781549 Enrollment ID: I20190306000458 |
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