| Central Behavioral Health | |
|
1100 Powell St Norristown PA 19401-3820 | |
| (610) 277-4600 | |
| (267) 818-2212 |
| Full Name | Central Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Powell St, Norristown, Pennsylvania |
| Authorized Official Name and Position | Valarie O'connor (PRESIDENT AND CEO) |
| Authorized Official Contact | 4848062009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Behavioral Health 1100 Powell St Norristown PA 19401-3820 Ph: (610) 277-4600 | Central Behavioral Health 1100 Powell St Norristown PA 19401-3820 Ph: (610) 277-4600 |
| NPI Number | 1568567071 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 0941109730 |
|---|---|
| Medicare Enrollment ID | O20031231000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568567071 | NPI | - | NPPES |
| 100727990 0043 | Medicaid | PA | |
| 1007279900047 | Medicaid | PA |
| Provider Name | Olutope Fakiyesi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407879109 PECOS PAC ID: 5294784484 Enrollment ID: I20050114000113 |
| Provider Name | Vivian Acton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467518282 PECOS PAC ID: 8022054683 Enrollment ID: I20050705000846 |
| Provider Name | Christine M Johannesson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073668372 PECOS PAC ID: 5799870598 Enrollment ID: I20071008000472 |
| Provider Name | Lucille E Venturanza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033269881 PECOS PAC ID: 3678634045 Enrollment ID: I20081203000548 |
| Provider Name | Shubha Kulkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386971778 PECOS PAC ID: 3173665007 Enrollment ID: I20100115000073 |
| Provider Name | Nora M Margolis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629134408 PECOS PAC ID: 2264625466 Enrollment ID: I20101020000863 |
| Provider Name | Shelley Oxenhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427214121 PECOS PAC ID: 8224201819 Enrollment ID: I20111026000616 |
| Provider Name | Ann M Wolf Schatz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962566174 PECOS PAC ID: 3678747227 Enrollment ID: I20111117000462 |
| Provider Name | Tracy L Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194863639 PECOS PAC ID: 9436313590 Enrollment ID: I20120621000300 |
| Provider Name | Janice A Lybrand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699870444 PECOS PAC ID: 9830347418 Enrollment ID: I20120925000075 |
| Provider Name | Brian K Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538246814 PECOS PAC ID: 8123033057 Enrollment ID: I20130612000134 |
| Provider Name | Deepraj Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417258948 PECOS PAC ID: 9739315268 Enrollment ID: I20131111001550 |
| Provider Name | Guy F Glass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982606018 PECOS PAC ID: 8628193612 Enrollment ID: I20150713001818 |
| Provider Name | Kelechi O Ogbonna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285973347 PECOS PAC ID: 4486875325 Enrollment ID: I20151106001306 |
| Provider Name | Catherine D Hillman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750741435 PECOS PAC ID: 5395041990 Enrollment ID: I20160308001524 |
| Provider Name | Ali Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619918562 PECOS PAC ID: 9436161395 Enrollment ID: I20160623000739 |
| Provider Name | Alexandre Geronian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548443906 PECOS PAC ID: 4789762675 Enrollment ID: I20160816000131 |
| Provider Name | Elizabeth R Peart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023499811 PECOS PAC ID: 2264700426 Enrollment ID: I20170613001612 |
| Provider Name | Karen S West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386159671 PECOS PAC ID: 6002171592 Enrollment ID: I20180605000072 |
| Provider Name | Kathryn J Newton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326457896 PECOS PAC ID: 7810240785 Enrollment ID: I20181023000189 |
| Provider Name | Jaeok O Cha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225175011 PECOS PAC ID: 1951463082 Enrollment ID: I20181031000990 |
| Provider Name | Onyekachi Oyiriaru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093144875 PECOS PAC ID: 2264778752 Enrollment ID: I20190103001443 |
| Provider Name | Nicole L Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679768022 PECOS PAC ID: 9133458573 Enrollment ID: I20190910001084 |
| Provider Name | Afshan Ranjha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851735047 PECOS PAC ID: 3072946318 Enrollment ID: I20191127001738 |
| Provider Name | Shameem Momin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376804955 PECOS PAC ID: 0042454787 Enrollment ID: I20200130000833 |
| Provider Name | Angelina Pelletier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285251207 PECOS PAC ID: 0446670475 Enrollment ID: I20201013002993 |
| Provider Name | Orlando R Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477676807 PECOS PAC ID: 7719172246 Enrollment ID: I20201118001614 |
| Provider Name | Allen Vu Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053804393 PECOS PAC ID: 2264802966 Enrollment ID: I20221221000114 |
| Provider Name | Andrea H Harner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891498218 PECOS PAC ID: 0244695989 Enrollment ID: I20230502000642 |
| Provider Name | Lucie Hoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306032735 PECOS PAC ID: 6305295262 Enrollment ID: I20231218002336 |
| Provider Name | Elizabeth A Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295422806 PECOS PAC ID: 7214387224 Enrollment ID: I20240103000163 |
| Provider Name | Christine Marie Rode Rothschild |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750153169 PECOS PAC ID: 6800249830 Enrollment ID: I20240126000046 |
| Provider Name | Nnedinma Ahukanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174305445 PECOS PAC ID: 3779929971 Enrollment ID: I20240311001761 |
| Provider Name | Antoinette M Ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508523184 PECOS PAC ID: 5597103291 Enrollment ID: I20240401000984 |
| Provider Name | Patricia Blanco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962170548 PECOS PAC ID: 8022456052 Enrollment ID: I20240409004435 |
| Provider Name | Joseph Paul Cipko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407118656 PECOS PAC ID: 5991147191 Enrollment ID: I20240520001747 |
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