| Center For Family Guidance, Pc | |
|
765 East Route 70 Building A Marlton NJ 08053 | |
| (856) 983-3900 | |
| Not Available |
| Full Name | Center For Family Guidance, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 765 East Route 70, Marlton, New Jersey |
| Authorized Official Name and Position | Robert Paschall (CEO) |
| Authorized Official Contact | 8569833900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family Guidance, Pc 765 East Route 70 Building A Marlton NJ 08053 Ph: (856) 983-3900 | Center For Family Guidance, Pc 765 East Route 70 Building A Marlton NJ 08053 Ph: (856) 983-3900 |
| NPI Number | 1508803388 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 04/07/2015 |
| Medicare PECOS PAC ID | 2860396454 |
|---|---|
| Medicare Enrollment ID | O20031125000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508803388 | NPI | - | NPPES |
| 7796706 | Medicaid | NJ |
| Provider Name | Colleen Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518939669 PECOS PAC ID: 9133023377 Enrollment ID: I20031120000481 |
| Provider Name | John G. Case |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588756811 PECOS PAC ID: 5698761047 Enrollment ID: I20040422000094 |
| Provider Name | Suman L. Jalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982661971 PECOS PAC ID: 4587635453 Enrollment ID: I20040804000391 |
| Provider Name | Michael H Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740323237 PECOS PAC ID: 8224009774 Enrollment ID: I20040805001436 |
| Provider Name | David B Roat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629137278 PECOS PAC ID: 6002881422 Enrollment ID: I20040830000658 |
| Provider Name | Ruby Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083620124 PECOS PAC ID: 9931167376 Enrollment ID: I20041230000702 |
| Provider Name | Padmavathy Kurra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205949468 PECOS PAC ID: 5193712677 Enrollment ID: I20050316000589 |
| Provider Name | James R Varrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689779043 PECOS PAC ID: 2567366073 Enrollment ID: I20050412000150 |
| Provider Name | Jana L Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689748477 PECOS PAC ID: 2961440185 Enrollment ID: I20050419000943 |
| Provider Name | Barbara E O Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912072638 PECOS PAC ID: 1254379365 Enrollment ID: I20050420000125 |
| Provider Name | William Hodgdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083914535 PECOS PAC ID: 0941248074 Enrollment ID: I20050420000247 |
| Provider Name | Barbara A Gondek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790845576 PECOS PAC ID: 5294773974 Enrollment ID: I20050422000299 |
| Provider Name | Elizabeth Capone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932233145 PECOS PAC ID: 8820036320 Enrollment ID: I20050425000159 |
| Provider Name | Joel K Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336202357 PECOS PAC ID: 5193767416 Enrollment ID: I20050526000680 |
| Provider Name | Gina S Leclerc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205002011 PECOS PAC ID: 5698711802 Enrollment ID: I20050628000993 |
| Provider Name | Lisa H Field |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821102153 PECOS PAC ID: 4284663154 Enrollment ID: I20050810001129 |
| Provider Name | Sarah J. Seabrook De Jong |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225062409 PECOS PAC ID: 5597794487 Enrollment ID: I20050811000007 |
| Provider Name | Denise Owen Fabricius |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346212826 PECOS PAC ID: 6406885391 Enrollment ID: I20050811000009 |
| Provider Name | Waqar Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699840314 PECOS PAC ID: 4587649090 Enrollment ID: I20050915000570 |
| Provider Name | Amit Kurani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770707986 PECOS PAC ID: 7719078286 Enrollment ID: I20070813000556 |
| Provider Name | Thomas J Campo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508075847 PECOS PAC ID: 0648362178 Enrollment ID: I20070828000762 |
| Provider Name | Diane M Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043229883 PECOS PAC ID: 5395838718 Enrollment ID: I20070830000463 |
| Provider Name | Michael S Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588712467 PECOS PAC ID: 6406940865 Enrollment ID: I20070917000527 |
| Provider Name | Amy G Mcandrew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427001593 PECOS PAC ID: 8426159815 Enrollment ID: I20080125000027 |
| Provider Name | Khalid M Bajwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306914320 PECOS PAC ID: 6608949920 Enrollment ID: I20080721000283 |
| Provider Name | Danielle R Pascale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508997107 PECOS PAC ID: 9032284815 Enrollment ID: I20080813000271 |
| Provider Name | Jessica R Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023279981 PECOS PAC ID: 6002974797 Enrollment ID: I20081024000218 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20081025000005 |
| Provider Name | Linda Delany-glassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487801411 PECOS PAC ID: 0547329310 Enrollment ID: I20081107000551 |
| Provider Name | Farida Iqbal-hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710037593 PECOS PAC ID: 4385709815 Enrollment ID: I20090218000077 |
| Provider Name | Mark A Zappone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144479247 PECOS PAC ID: 1153487780 Enrollment ID: I20090306000275 |
| Provider Name | Marie Hasson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033152707 PECOS PAC ID: 5597776427 Enrollment ID: I20090603000407 |
| Provider Name | Tanya Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831304583 PECOS PAC ID: 9931254489 Enrollment ID: I20090904000148 |
| Provider Name | Vincent M Capone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831223155 PECOS PAC ID: 0547316606 Enrollment ID: I20090915000741 |
| Provider Name | Melissa S Rochman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902023138 PECOS PAC ID: 8921144791 Enrollment ID: I20091008000065 |
| Provider Name | Trevor George Forbes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225109390 PECOS PAC ID: 5597754978 Enrollment ID: I20091023000667 |
| Provider Name | Diane B Deblase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598998783 PECOS PAC ID: 1658419692 Enrollment ID: I20091111000320 |
| Provider Name | Michael F Vonpoelnitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407088818 PECOS PAC ID: 5991848053 Enrollment ID: I20100211000507 |
| Provider Name | Victoria Demosthene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154652352 PECOS PAC ID: 7911034749 Enrollment ID: I20100427000289 |
| Provider Name | Judy M Oconnor-becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245476761 PECOS PAC ID: 8527196229 Enrollment ID: I20100517000130 |
| Provider Name | Natalie Deming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518287135 PECOS PAC ID: 4880726058 Enrollment ID: I20100723000404 |
| Provider Name | Maasi Shamilov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528073491 PECOS PAC ID: 8123175775 Enrollment ID: I20101029000253 |
| Provider Name | Akhil Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376710160 PECOS PAC ID: 1355415639 Enrollment ID: I20101124000571 |
| Provider Name | Peter Brancato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760578892 PECOS PAC ID: 9133315526 Enrollment ID: I20101124000703 |
| Provider Name | Suzanne M Lind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437250644 PECOS PAC ID: 2163618315 Enrollment ID: I20101130000531 |
| Provider Name | Margarita Gormus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366642340 PECOS PAC ID: 1850588054 Enrollment ID: I20101214001048 |
| Provider Name | Nadia Matin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124298625 PECOS PAC ID: 4183803729 Enrollment ID: I20110127000856 |
| Provider Name | Nicole M Henderson Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073795688 PECOS PAC ID: 3476736422 Enrollment ID: I20110329000219 |
| Provider Name | Lizbeth A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568752723 PECOS PAC ID: 4183800980 Enrollment ID: I20110511000821 |
| Provider Name | Basirah Taha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750469094 PECOS PAC ID: 8527059120 Enrollment ID: I20110516000700 |
| Provider Name | Eboni Brown Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083939235 PECOS PAC ID: 7214065218 Enrollment ID: I20110816000177 |
| Provider Name | Uche O Keem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750529376 PECOS PAC ID: 3274705819 Enrollment ID: I20111004000515 |
| Provider Name | Linda Gable-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675888 PECOS PAC ID: 1456523893 Enrollment ID: I20111007000449 |
| Provider Name | Lisa O Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023267838 PECOS PAC ID: 3476727413 Enrollment ID: I20111201000021 |
| Provider Name | Pierre Ngili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316254683 PECOS PAC ID: 7012182025 Enrollment ID: I20111202000204 |
| Provider Name | Marc Irwin Rothman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700884889 PECOS PAC ID: 6901975457 Enrollment ID: I20111206000252 |
| Provider Name | John T Mccart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982729430 PECOS PAC ID: 8527234822 Enrollment ID: I20120109000763 |
| Provider Name | Lisa M Ewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093087249 PECOS PAC ID: 1355505470 Enrollment ID: I20120620000733 |
| Provider Name | Hillary A Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780981506 PECOS PAC ID: 9032374111 Enrollment ID: I20120625000203 |
| Provider Name | Jay P Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043294499 PECOS PAC ID: 6901099670 Enrollment ID: I20120919000013 |
| Provider Name | Kelly Nussbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215229596 PECOS PAC ID: 1052569639 Enrollment ID: I20120925000036 |
| Provider Name | Michelle L Thorpe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956843 PECOS PAC ID: 4082868005 Enrollment ID: I20130129000080 |
| Provider Name | Latifah Dosunmu-oparison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083951677 PECOS PAC ID: 7517104078 Enrollment ID: I20130501000245 |
| Provider Name | Lilian N Oguh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154645364 PECOS PAC ID: 9931348158 Enrollment ID: I20130620000019 |
| Provider Name | Audrey Eve Longson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841458221 PECOS PAC ID: 0941441547 Enrollment ID: I20130724000542 |
| Provider Name | Olayinka M Aramide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104168699 PECOS PAC ID: 3971747775 Enrollment ID: I20130918000041 |
| Provider Name | Alexter R Mutia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108582 PECOS PAC ID: 5294960142 Enrollment ID: I20131030001028 |
| Provider Name | Lauren C Ermentrout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639503527 PECOS PAC ID: 9638307093 Enrollment ID: I20140109000652 |
| Provider Name | Danielle H Blithe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851610018 PECOS PAC ID: 4880822261 Enrollment ID: I20140109001110 |
| Provider Name | Alexis T Udalovas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386081651 PECOS PAC ID: 9133359201 Enrollment ID: I20140311001714 |
| Provider Name | Christopher R Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952631715 PECOS PAC ID: 0648401927 Enrollment ID: I20140331000641 |
| Provider Name | Carol J Maute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336562552 PECOS PAC ID: 3476777228 Enrollment ID: I20140617001862 |
| Provider Name | Andrea Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437579828 PECOS PAC ID: 7113142993 Enrollment ID: I20140711000153 |
| Provider Name | Damien F Chiodo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548531502 PECOS PAC ID: 8921226812 Enrollment ID: I20140908000909 |
| Provider Name | Bolanle Olatoye Popoola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952711194 PECOS PAC ID: 0042247793 Enrollment ID: I20141112000106 |
| Provider Name | Jenika L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255503892 PECOS PAC ID: 7113249855 Enrollment ID: I20150130000100 |
| Provider Name | Sarabjit Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114050846 PECOS PAC ID: 5496070740 Enrollment ID: I20150210000087 |
| Provider Name | Martha A Pearson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962418491 PECOS PAC ID: 7113927773 Enrollment ID: I20150505000505 |
| Provider Name | Domenick J Sportelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952613598 PECOS PAC ID: 7911218235 Enrollment ID: I20150612000807 |
| Provider Name | Shayla J Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760745707 PECOS PAC ID: 3971750217 Enrollment ID: I20150818003245 |
| Provider Name | Mehtab A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154414431 PECOS PAC ID: 9234260480 Enrollment ID: I20150928001661 |
| Provider Name | Janet Weitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093038226 PECOS PAC ID: 9436280716 Enrollment ID: I20151002000690 |
| Provider Name | Bradford D Bobrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255365367 PECOS PAC ID: 1850347816 Enrollment ID: I20151208002909 |
| Provider Name | Mahip Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814022 PECOS PAC ID: 3274834577 Enrollment ID: I20151210000555 |
| Provider Name | Catherine A Doughten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790179695 PECOS PAC ID: 1153623772 Enrollment ID: I20160113001223 |
| Provider Name | Nabil Siddiqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982996484 PECOS PAC ID: 1658684592 Enrollment ID: I20160211001240 |
| Provider Name | Alisa B Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649645649 PECOS PAC ID: 3274839949 Enrollment ID: I20160307000279 |
| Provider Name | Sarah M Fajgenbaum Teslja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104186188 PECOS PAC ID: 3375840838 Enrollment ID: I20160328001837 |
| Provider Name | Richard Allan Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215378336 PECOS PAC ID: 4587886221 Enrollment ID: I20160620002271 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20160901000938 |
| Provider Name | Lauren Reavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140309 PECOS PAC ID: 7517255235 Enrollment ID: I20161013000181 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20161014000050 |
| Provider Name | Marie Y Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982153334 PECOS PAC ID: 0244512218 Enrollment ID: I20170127000078 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20170223000041 |
| Provider Name | Shay N Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780983601 PECOS PAC ID: 9133438708 Enrollment ID: I20170329002549 |
| Provider Name | Catherine D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477793610 PECOS PAC ID: 5698043305 Enrollment ID: I20170622000119 |
| Provider Name | Kelly L Kerrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780130989 PECOS PAC ID: 9335412980 Enrollment ID: I20170905000303 |
| Provider Name | Alaukik Bhasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831598788 PECOS PAC ID: 2961761309 Enrollment ID: I20180110003354 |
| Provider Name | Patrick Cleary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285933994 PECOS PAC ID: 2860752409 Enrollment ID: I20180130002922 |
| Provider Name | Oluchi Chilaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336651520 PECOS PAC ID: 3274893391 Enrollment ID: I20180212000987 |
| Provider Name | Anna M Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367321 PECOS PAC ID: 3476813395 Enrollment ID: I20180214000051 |
| Provider Name | Janan A Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578070249 PECOS PAC ID: 2466713292 Enrollment ID: I20180219001336 |
| Provider Name | Ubong E Udofia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760745889 PECOS PAC ID: 5890058549 Enrollment ID: I20180411002518 |
| Provider Name | Meredith M Brandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902172265 PECOS PAC ID: 7012271588 Enrollment ID: I20180509000790 |
| Provider Name | Osman Jalloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538413893 PECOS PAC ID: 0941440531 Enrollment ID: I20180518001793 |
| Provider Name | Brianna Scancarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643430 PECOS PAC ID: 6406101419 Enrollment ID: I20180615000447 |
| Provider Name | Kazeem A Olajide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184110165 PECOS PAC ID: 6002169620 Enrollment ID: I20181030000514 |
| Provider Name | Kylee L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588029730 PECOS PAC ID: 7810240025 Enrollment ID: I20181105001018 |
| Provider Name | Rafia Nicola Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043712003 PECOS PAC ID: 9739436239 Enrollment ID: I20181220001959 |
| Provider Name | Tiara K Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982176541 PECOS PAC ID: 1658618517 Enrollment ID: I20190130001968 |
| Provider Name | Liana Soyfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205305638 PECOS PAC ID: 6204173008 Enrollment ID: I20190201001583 |
| Provider Name | Ijeoma Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306104518 PECOS PAC ID: 8527365741 Enrollment ID: I20190606002349 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20191023003085 |
| Provider Name | Jane E O Rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492335 PECOS PAC ID: 4183956469 Enrollment ID: I20191106001923 |
| Provider Name | Mary Beth R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177828 PECOS PAC ID: 5092147918 Enrollment ID: I20191114003131 |
| Provider Name | Keith Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758232 PECOS PAC ID: 5092147512 Enrollment ID: I20191120003226 |
| Provider Name | Norbert Csordas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488048 PECOS PAC ID: 9335572387 Enrollment ID: I20191204002112 |
| Provider Name | Julianne Gamino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245664853 PECOS PAC ID: 3173956661 Enrollment ID: I20191216000843 |
| Provider Name | Michelle Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872542 PECOS PAC ID: 3375977184 Enrollment ID: I20200103001570 |
| Provider Name | Carlos A Coto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356999627 PECOS PAC ID: 6204260938 Enrollment ID: I20200106000393 |
| Provider Name | Brandon Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366088189 PECOS PAC ID: 3476987108 Enrollment ID: I20200106000434 |
| Provider Name | Danielle N Berju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083266621 PECOS PAC ID: 0042645350 Enrollment ID: I20200115000302 |
| Provider Name | Kiersten L Bonsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549431 PECOS PAC ID: 2466889274 Enrollment ID: I20200217000783 |
| Provider Name | Nicole Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20200402001007 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20200402001117 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20200402001185 |
| Provider Name | Vicky Chodha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366884751 PECOS PAC ID: 3577853522 Enrollment ID: I20200402001270 |
| Provider Name | Adam Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20200402001841 |
| Provider Name | Matthew D Carpinello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790059194 PECOS PAC ID: 2466888904 Enrollment ID: I20200402003283 |
| Provider Name | Debra A Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570393 PECOS PAC ID: 6305275843 Enrollment ID: I20200403000375 |
| Provider Name | Mark Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20200408004468 |
| Provider Name | Taha Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538512629 PECOS PAC ID: 0749515948 Enrollment ID: I20200409000756 |
| Provider Name | Gaurav Vishnoi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568871911 PECOS PAC ID: 9830433978 Enrollment ID: I20200504001577 |
| Provider Name | Maria Ebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245881192 PECOS PAC ID: 8022449651 Enrollment ID: I20200514000312 |
| Provider Name | Timothy Mcshane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275153967 PECOS PAC ID: 9133540438 Enrollment ID: I20200521002118 |
| Provider Name | Musaddiq Tariq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326465436 PECOS PAC ID: 7012338924 Enrollment ID: I20200602000487 |
| Provider Name | Monique R Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740816602 PECOS PAC ID: 5496177412 Enrollment ID: I20200622000595 |
| Provider Name | Kristin Borreggine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700293834 PECOS PAC ID: 7719105006 Enrollment ID: I20200623002116 |
| Provider Name | Joseph Esposito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750642179 PECOS PAC ID: 3779814082 Enrollment ID: I20200702000411 |
| Provider Name | Andrew Mark Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730232562 PECOS PAC ID: 4880695949 Enrollment ID: I20200702002397 |
| Provider Name | Stephen Mateka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770997025 PECOS PAC ID: 8224452164 Enrollment ID: I20200723003475 |
| Provider Name | Oliver Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068942 PECOS PAC ID: 4183043318 Enrollment ID: I20201007001509 |
| Provider Name | Libra Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210470 PECOS PAC ID: 9537589874 Enrollment ID: I20201026002117 |
| Provider Name | Nataashia Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972114221 PECOS PAC ID: 5597175638 Enrollment ID: I20201102000469 |
| Provider Name | Christina D'antoni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922608975 PECOS PAC ID: 4587076021 Enrollment ID: I20201207002809 |
| Provider Name | Abiola O Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356948327 PECOS PAC ID: 2062825482 Enrollment ID: I20210104001251 |
| Provider Name | Firmin Langyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871106088 PECOS PAC ID: 8325452766 Enrollment ID: I20210127000426 |
| Provider Name | Michael Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801124599 PECOS PAC ID: 1951717156 Enrollment ID: I20210315000265 |
| Provider Name | Justyna Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639768500 PECOS PAC ID: 3173930179 Enrollment ID: I20210317003062 |
| Provider Name | Gregory Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386250801 PECOS PAC ID: 3274940168 Enrollment ID: I20210319001069 |
| Provider Name | Lorilei Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841839784 PECOS PAC ID: 8729495643 Enrollment ID: I20210322000084 |
| Provider Name | Joseph Divincenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740201425 PECOS PAC ID: 3577475649 Enrollment ID: I20210330000355 |
| Provider Name | Alyssa Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346894623 PECOS PAC ID: 4587071972 Enrollment ID: I20210331002346 |
| Provider Name | Abiodun A Olatubosun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215531678 PECOS PAC ID: 1153730387 Enrollment ID: I20210429001165 |
| Provider Name | Amanda Caroccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407229339 PECOS PAC ID: 7911316518 Enrollment ID: I20210512000753 |
| Provider Name | Nabil Karroum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104985118 PECOS PAC ID: 0749185973 Enrollment ID: I20210702000436 |
| Provider Name | Maria Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679168520 PECOS PAC ID: 2961804372 Enrollment ID: I20210707004105 |
| Provider Name | Carolyn Segal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053980441 PECOS PAC ID: 0042613606 Enrollment ID: I20210721000037 |
| Provider Name | Riyadh Al-jammaly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770998775 PECOS PAC ID: 0749553683 Enrollment ID: I20210805003593 |
| Provider Name | Colleen M Karasinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013171206 PECOS PAC ID: 0547666281 Enrollment ID: I20210907000476 |
| Provider Name | Emmanuel Ameyibor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265015275 PECOS PAC ID: 5991102980 Enrollment ID: I20210917000320 |
| Provider Name | Esther Chidinma Onwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063087385 PECOS PAC ID: 7416354410 Enrollment ID: I20210917000790 |
| Provider Name | Lianne Haught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508530106 PECOS PAC ID: 8729485735 Enrollment ID: I20210917001124 |
| Provider Name | Anthony Tangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003433954 PECOS PAC ID: 0143628156 Enrollment ID: I20211006000031 |
| Provider Name | Kandace Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235580838 PECOS PAC ID: 1850799867 Enrollment ID: I20211006000093 |
| Provider Name | Stella Okah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114523867 PECOS PAC ID: 9436557394 Enrollment ID: I20211006002067 |
| Provider Name | Venkata Dharma Teja Sugnanam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265847230 PECOS PAC ID: 6103043583 Enrollment ID: I20211006002362 |
| Provider Name | Ibrahim Sahid Kargbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174293708 PECOS PAC ID: 3779971064 Enrollment ID: I20211019000327 |
| Provider Name | Catherine N Okali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821272477 PECOS PAC ID: 7719375880 Enrollment ID: I20211021001583 |
| Provider Name | Yahaya Animashaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710157961 PECOS PAC ID: 8123416914 Enrollment ID: I20211027002786 |
| Provider Name | Alexander Anthony Chianese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801567656 PECOS PAC ID: 0547659294 Enrollment ID: I20211118000088 |
| Provider Name | Michelle Guarnizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115592 PECOS PAC ID: 5698166221 Enrollment ID: I20211215001856 |
| Provider Name | Ari Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421853 PECOS PAC ID: 9032500988 Enrollment ID: I20220103001621 |
| Provider Name | Robert Briglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396497863 PECOS PAC ID: 2163815499 Enrollment ID: I20220209002822 |
| Provider Name | Jeremy D Staats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407596257 PECOS PAC ID: 9234526104 Enrollment ID: I20220422001293 |
| Provider Name | Corine Iwuala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063168847 PECOS PAC ID: 5193112696 Enrollment ID: I20220503000022 |
| Provider Name | Maria Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316688773 PECOS PAC ID: 7810384278 Enrollment ID: I20220503002950 |
| Provider Name | Fausat F Odubiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881174654 PECOS PAC ID: 0749603496 Enrollment ID: I20220512000298 |
| Provider Name | Samantha Delorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144965013 PECOS PAC ID: 6103205513 Enrollment ID: I20220615000871 |
| Provider Name | Seema Shekar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134612104 PECOS PAC ID: 6002295441 Enrollment ID: I20220615002104 |
| Provider Name | Kelly A Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871231720 PECOS PAC ID: 9537549159 Enrollment ID: I20220629000809 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20221031001443 |
| Provider Name | Augustina C Ike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235875162 PECOS PAC ID: 2769851559 Enrollment ID: I20221219000890 |
| Provider Name | Catherine D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952019465 PECOS PAC ID: 3779953286 Enrollment ID: I20221227002428 |
| Provider Name | Danielle R Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336857002 PECOS PAC ID: 5698145530 Enrollment ID: I20230110001869 |
| Provider Name | Angie I Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518675818 PECOS PAC ID: 0648640417 Enrollment ID: I20230112001592 |
| Provider Name | Grace Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902517741 PECOS PAC ID: 9931570918 Enrollment ID: I20230131000320 |
| Provider Name | Charlotte Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205544715 PECOS PAC ID: 1557732542 Enrollment ID: I20230131000981 |
| Provider Name | Tarah Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710453121 PECOS PAC ID: 1850765868 Enrollment ID: I20230314002487 |
| Provider Name | Mara Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144929563 PECOS PAC ID: 5092170555 Enrollment ID: I20230505000880 |
| Provider Name | Abby Mcferran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174224588 PECOS PAC ID: 7911363387 Enrollment ID: I20230510002358 |
| Provider Name | Ghulam S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447815071 PECOS PAC ID: 3375900806 Enrollment ID: I20230526002359 |
| Provider Name | Kellie Guarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274138 PECOS PAC ID: 1759748643 Enrollment ID: I20230608000903 |
| Provider Name | Kelly Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275103665 PECOS PAC ID: 2961862024 Enrollment ID: I20230720002603 |
| Provider Name | Christopher Burky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043330970 PECOS PAC ID: 8729054929 Enrollment ID: I20230726000457 |
| Provider Name | Solomon Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023021029 PECOS PAC ID: 1254326374 Enrollment ID: I20230726003672 |
| Provider Name | Kristen Drexler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215620091 PECOS PAC ID: 4082686472 Enrollment ID: I20230729000071 |
| Provider Name | Gwendolyn Roberson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558504191 PECOS PAC ID: 4880901198 Enrollment ID: I20230803002265 |
| Provider Name | Adam Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457738825 PECOS PAC ID: 7315275641 Enrollment ID: I20230804001082 |
| Provider Name | Dede E Echitey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821474412 PECOS PAC ID: 8426366212 Enrollment ID: I20230809000131 |
| Provider Name | Vijay Phalgoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538323951 PECOS PAC ID: 9931326097 Enrollment ID: I20230816004450 |
| Provider Name | Judith Uwazuruonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132292 PECOS PAC ID: 1254793672 Enrollment ID: I20230817001063 |
| Provider Name | Jennifer Dyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255015798 PECOS PAC ID: 0345603452 Enrollment ID: I20230822003602 |
| Provider Name | Matthew Lynx |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013147453 PECOS PAC ID: 7113145939 Enrollment ID: I20230823001756 |
| Provider Name | Brittany Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083082739 PECOS PAC ID: 2769739390 Enrollment ID: I20230828000028 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20230829003155 |
| Provider Name | Aminatu Tiamiyu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083305452 PECOS PAC ID: 4183088040 Enrollment ID: I20230911002233 |
| Provider Name | Deola Saheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972008381 PECOS PAC ID: 5799185989 Enrollment ID: I20230913004113 |
| Provider Name | William George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295149797 PECOS PAC ID: 4082901087 Enrollment ID: I20230915000028 |
| Provider Name | Pooja Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083077903 PECOS PAC ID: 8325386857 Enrollment ID: I20230928000224 |
| Provider Name | Param Sahgal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013497981 PECOS PAC ID: 4385059609 Enrollment ID: I20230928000732 |
| Provider Name | Ramneesh Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548525413 PECOS PAC ID: 8729344874 Enrollment ID: I20230930000049 |
| Provider Name | Terese Watkins-laptiste |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972819019 PECOS PAC ID: 6103116421 Enrollment ID: I20230930000438 |
| Provider Name | Justin Aulffo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285316323 PECOS PAC ID: 9234583816 Enrollment ID: I20231002000034 |
| Provider Name | Tenishia Kim Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254932 PECOS PAC ID: 7113277369 Enrollment ID: I20231002003750 |
| Provider Name | Omotola Ajibade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841571841 PECOS PAC ID: 4789049057 Enrollment ID: I20231003003359 |
| Provider Name | Russell Yates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609940469 PECOS PAC ID: 0244201937 Enrollment ID: I20231006000162 |
| Provider Name | Avrim Brett Fishkind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093727943 PECOS PAC ID: 2466539804 Enrollment ID: I20231009001052 |
| Provider Name | Molly Oligbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437646650 PECOS PAC ID: 8921363292 Enrollment ID: I20231010003769 |
| Provider Name | Nicole Ziobron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104469899 PECOS PAC ID: 8527484765 Enrollment ID: I20231010003862 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20231017003707 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20231018003366 |
| Provider Name | Ming Yuan Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20231021000777 |
| Provider Name | Steven Sharp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366890857 PECOS PAC ID: 9436443256 Enrollment ID: I20231023000224 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20231024003511 |
| Provider Name | Noahawke Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972286672 PECOS PAC ID: 5799131926 Enrollment ID: I20231025000586 |
| Provider Name | Ogechi Opara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326705492 PECOS PAC ID: 3072969120 Enrollment ID: I20231025001505 |
| Provider Name | Seung In Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447038161 PECOS PAC ID: 4486001922 Enrollment ID: I20231106001874 |
| Provider Name | Atul Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942392212 PECOS PAC ID: 4284530288 Enrollment ID: I20231108004029 |
| Provider Name | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20231113003256 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295851285 PECOS PAC ID: 2769864784 Enrollment ID: I20231120003326 |
| Provider Name | Anna Ladner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558829804 PECOS PAC ID: 0244665222 Enrollment ID: I20231122001858 |
| Provider Name | Habiba Mzougui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544147 PECOS PAC ID: 1456637578 Enrollment ID: I20231128003756 |
| Provider Name | Stephanie Ann Bennington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619453040 PECOS PAC ID: 8426300872 Enrollment ID: I20231208001242 |
| Provider Name | Maanasa Bandla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063972404 PECOS PAC ID: 7618203035 Enrollment ID: I20231211000064 |
| Provider Name | Metin Cayiroglu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649633710 PECOS PAC ID: 9931534518 Enrollment ID: I20231214003272 |
| Provider Name | Prisca U Ogbonnaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164140083 PECOS PAC ID: 6204285117 Enrollment ID: I20231218000376 |
| Provider Name | Angela Ekeresi Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114196995 PECOS PAC ID: 0547386054 Enrollment ID: I20240102002630 |
| Provider Name | Krista Kranzley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275200503 PECOS PAC ID: 1153771100 Enrollment ID: I20240103001668 |
| Provider Name | Neil Bhupendra Jariwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20240103001669 |
| Provider Name | Leigh Babiasz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760053243 PECOS PAC ID: 4981054947 Enrollment ID: I20240103002189 |
| Provider Name | Veronica Mckithen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306542410 PECOS PAC ID: 3678923661 Enrollment ID: I20240103003092 |
| Provider Name | Edulfo Gonzalez-sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942591151 PECOS PAC ID: 2264610898 Enrollment ID: I20240112002093 |
| Provider Name | Ashley Shepard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194110197 PECOS PAC ID: 3577867092 Enrollment ID: I20240119002195 |
| Provider Name | Jenny Liu-melita |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487196200 PECOS PAC ID: 2062758204 Enrollment ID: I20240122000065 |
| Provider Name | Lynette Albanese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982906848 PECOS PAC ID: 9234582081 Enrollment ID: I20240128000018 |
| Provider Name | Jamie Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124637749 PECOS PAC ID: 0446694582 Enrollment ID: I20240216003099 |
| Provider Name | Kristin L Dellavecchia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457000804 PECOS PAC ID: 0244675924 Enrollment ID: I20240304003872 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20240305003808 |
| Provider Name | Leni Bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790074649 PECOS PAC ID: 4880046523 Enrollment ID: I20240319004152 |
| Provider Name | Nora Ciervo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124404348 PECOS PAC ID: 6002124203 Enrollment ID: I20240320002900 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20240326003021 |
| Provider Name | Cynthia Mellitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619306016 PECOS PAC ID: 2163874710 Enrollment ID: I20240404003792 |
| Provider Name | David Robins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962540294 PECOS PAC ID: 5890147235 Enrollment ID: I20240408000781 |
| Provider Name | Matthew Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174859284 PECOS PAC ID: 4183866981 Enrollment ID: I20240530002419 |
| Provider Name | Anca Amighi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295760247 PECOS PAC ID: 6002865003 Enrollment ID: I20240531003232 |
Tree Of Life Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Cooper Ave, Suite A, Marlton, NJ 08053 Phone: 856-905-3540 | |
Capstone Behavioral Health L.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 102 Centre Blvd Ste E, Marlton, NJ 08053 Phone: 856-462-6400 Fax: 856-302-0108 | |
Genesis Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003c Lincoln Drive West, Marlton, NJ 08053 Phone: 856-596-8007 Fax: 856-596-8699 | |
Center For Counseling And Education Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 E Main St, Marlton, NJ 08053 Phone: 856-985-9091 Fax: 856-985-9092 | |
Talkiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 525 Route 73 N Ste 117, Marlton, NJ 08053 Phone: 833-351-8255 | |
Marizita T Seher, Psyd, Limited Liability Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-4124 Fax: 609-261-7199 | |
Union Association Of The Children's Home Of Burlington County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 E Stow Rd, Marlton, NJ 08053 Phone: 609-267-5656 Fax: 609-265-1895 |