Axon Psychiatry | |
822 Montgomery Ave Ste 207 Narberth PA 19072-1946 | |
(215) 565-1005 | |
Not Available |
Full Name | Axon Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 822 Montgomery Ave Ste 207, Narberth, Pennsylvania |
Authorized Official Name and Position | Frederick Rhode Stoddard (CEO) |
Authorized Official Contact | 2152924007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Axon Psychiatry 822 Montgomery Ave Ste 207 Narberth PA 19072-1946 Ph: (215) 565-1005 | Axon Psychiatry 822 Montgomery Ave Ste 207 Narberth PA 19072-1946 Ph: (215) 565-1005 |
NPI Number | 1265031603 |
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Provider Enumeration Date | 10/17/2020 |
Last Update Date | 03/08/2024 |
Certification Date | 03/08/2024 |
Medicare PECOS PAC ID | 5890103329 |
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Medicare Enrollment ID | O20210421001000 |
Identifier | Type | State | Issuer |
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1265031603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Frederick Rhode Stoddard |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447384193 PECOS PAC ID: 4385744465 Enrollment ID: I20070703000545 |
Provider Name | Sharon R. Katz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881756856 PECOS PAC ID: 7618889775 Enrollment ID: I20130913000496 |
Provider Name | Thomas H Scott |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1306999289 PECOS PAC ID: 9436300480 Enrollment ID: I20180321000148 |
Provider Name | Ayeesha Adolphus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447885132 PECOS PAC ID: 2264854470 Enrollment ID: I20200617000020 |
Provider Name | Chen Zhou |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528556123 PECOS PAC ID: 3971855651 Enrollment ID: I20240220002502 |
Provider Name | Janet Landis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891546669 PECOS PAC ID: 1254770621 Enrollment ID: I20240417004227 |
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