| Center For Integrated Behavioral Health,llc | |
|
1 Bethlehem Plz Suite 810 Bethlehem PA 18018-5754 | |
| (610) 865-4300 | |
| Not Available |
| Full Name | Center For Integrated Behavioral Health,llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Bethlehem Plz, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Philip Pellegrino (CO-FOUNDER/PSYCHOLOGIST) |
| Authorized Official Contact | 2157150820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrated Behavioral Health,llc 1 Bethlehem Plz Suite 810 Bethlehem PA 18018-5754 Ph: (610) 865-4300 | Center For Integrated Behavioral Health,llc 1 Bethlehem Plz Suite 810 Bethlehem PA 18018-5754 Ph: (610) 865-4300 |
| NPI Number | 1083981104 |
|---|---|
| Provider Enumeration Date | 11/17/2011 |
| Last Update Date | 01/04/2012 |
| Medicare PECOS PAC ID | 4183884521 |
|---|---|
| Medicare Enrollment ID | O20120322000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083981104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016995 (Pennsylvania) | Primary |
| Provider Name | Philip J Pellegrino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326204868 PECOS PAC ID: 9234316621 Enrollment ID: I20110613000353 |
| Provider Name | Roger K Mcfillin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700179025 PECOS PAC ID: 1355501792 Enrollment ID: I20120322000377 |
| Provider Name | Meghan Richetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750719928 PECOS PAC ID: 0840428165 Enrollment ID: I20140114000202 |
| Provider Name | Joanne E Morth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790189124 PECOS PAC ID: 1658693437 Enrollment ID: I20141205000440 |
| Provider Name | Debra E Mashberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194871665 PECOS PAC ID: 6507914371 Enrollment ID: I20161122001898 |
| Provider Name | Rizwan Ahmad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740723519 PECOS PAC ID: 2264714351 Enrollment ID: I20170125002094 |
| Provider Name | Agnes Lenda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346769973 PECOS PAC ID: 5193091551 Enrollment ID: I20171030003050 |
| Provider Name | Stephen J Sell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366959488 PECOS PAC ID: 8820358856 Enrollment ID: I20180212001673 |
| Provider Name | Robert Sokol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912910860 PECOS PAC ID: 1355684853 Enrollment ID: I20190524002329 |
| Provider Name | Jessamine Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033567599 PECOS PAC ID: 5991036329 Enrollment ID: I20191015003307 |
| Provider Name | Kimberly Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760802623 PECOS PAC ID: 8820424781 Enrollment ID: I20200212002370 |
| Provider Name | Amanda Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679233464 PECOS PAC ID: 1254725682 Enrollment ID: I20220301002545 |
| Provider Name | Christopher Ratkis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174283485 PECOS PAC ID: 2365839503 Enrollment ID: I20220418002495 |
| Provider Name | Laurean Botrus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134836216 PECOS PAC ID: 7214305341 Enrollment ID: I20221122000866 |
| Provider Name | Margarett Molina Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033824818 PECOS PAC ID: 9739551706 Enrollment ID: I20230221001931 |
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