| Behavioral Solutions Medical, Pc | |
|
888 Glenbrook Ave Bryn Mawr PA 19010-2506 | |
| (484) 816-7887 | |
| (484) 468-1503 |
| Full Name | Behavioral Solutions Medical, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 888 Glenbrook Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | William Leonard (CEO/PRESIDENT) |
| Authorized Official Contact | 8559404867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Solutions Medical, Pc 1555 Palm Beach Lakes Blvd Ste 1105 West Palm Beach FL 33401-2328 Ph: (561) 264-4406 | Behavioral Solutions Medical, Pc 888 Glenbrook Ave Bryn Mawr PA 19010-2506 Ph: (484) 816-7887 |
| NPI Number | 1790257335 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 4183964489 |
|---|---|
| Medicare Enrollment ID | O20190325000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790257335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Suzanne E Vogel Scibilia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407468 PECOS PAC ID: 2961479431 Enrollment ID: I20040914000696 |
| Provider Name | M Samson Seplow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477686608 PECOS PAC ID: 0446323125 Enrollment ID: I20080715000284 |
| Provider Name | Mustafa Kaleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578724258 PECOS PAC ID: 6608929583 Enrollment ID: I20090727000118 |
| Provider Name | Cyllene Briones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700866514 PECOS PAC ID: 0143298042 Enrollment ID: I20120912000718 |
| Provider Name | Lela Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942621040 PECOS PAC ID: 0749410009 Enrollment ID: I20140306000080 |
| Provider Name | Pamela A May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285182642 PECOS PAC ID: 8729367024 Enrollment ID: I20161109000449 |
| Provider Name | Kevin Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023096054 PECOS PAC ID: 4688804289 Enrollment ID: I20190325001017 |
| Provider Name | Marianys Delgado Alazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275062150 PECOS PAC ID: 4082966460 Enrollment ID: I20191003001581 |
| Provider Name | Lisa M Scully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770127326 PECOS PAC ID: 8022447598 Enrollment ID: I20200403001867 |
| Provider Name | Debra A Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570393 PECOS PAC ID: 6305275843 Enrollment ID: I20210617002401 |
| Provider Name | Jennifer A Demko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932791654 PECOS PAC ID: 8325431711 Enrollment ID: I20220208000164 |
| Provider Name | Susmita Hazarika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982142550 PECOS PAC ID: 0941585772 Enrollment ID: I20221012000751 |
| Provider Name | Ifeoluwa Ajuwon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457937088 PECOS PAC ID: 9739598749 Enrollment ID: I20230317000304 |
| Provider Name | Haseeba Ismaiel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184128217 PECOS PAC ID: 1557738796 Enrollment ID: I20240503003003 |
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