| Cmc Psychiatric Associates, Pc | |
|
3 Cooper Plz Suite 307 Camden NJ 08103-1438 | |
| (856) 342-2328 | |
| (856) 541-6137 |
| Full Name | Cmc Psychiatric Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3 Cooper Plz, Camden, New Jersey |
| Authorized Official Name and Position | Anthony J. Mazzarelli (CHIEF MEDICAL OFFICE) |
| Authorized Official Contact | 8569687858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Psychiatric Associates, Pc 1 Federal Street Sw-200 Camden NJ 08103-1155 Ph: (856) 356-4924 | Cmc Psychiatric Associates, Pc 3 Cooper Plz Suite 307 Camden NJ 08103-1438 Ph: (856) 342-2328 |
| NPI Number | 1982646634 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 2264401686 |
|---|---|
| Medicare Enrollment ID | O20041001000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982646634 | NPI | - | NPPES |
| 0090557000 | Other | NJ | AMERIHEALTH GRP# |
| 3030601 | Medicaid | NJ | |
| 6415903 | Medicaid | NJ | |
| 9476 | Other | AETNA | |
| 00900557000 | Other | AMERIHEALTH | |
| 100775601 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (New Jersey) | Primary |
| Provider Name | Michael J Colis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578640942 PECOS PAC ID: 4284673526 Enrollment ID: I20050427000269 |
| Provider Name | David F Bogacki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912095977 PECOS PAC ID: 9436198116 Enrollment ID: I20050502001160 |
| Provider Name | Aney M Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275637720 PECOS PAC ID: 7315994811 Enrollment ID: I20050926000733 |
| Provider Name | Consuelo C Cagande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164520573 PECOS PAC ID: 6608876255 Enrollment ID: I20070104000030 |
| Provider Name | Kelly L Gilrain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669580395 PECOS PAC ID: 2163529504 Enrollment ID: I20070521000237 |
| Provider Name | Laurie L Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104018431 PECOS PAC ID: 9537224704 Enrollment ID: I20090223000450 |
| Provider Name | Pamela J Szeeley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043305808 PECOS PAC ID: 4880875780 Enrollment ID: I20110225000289 |
| Provider Name | Rama Rao Gogineni |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1295823656 PECOS PAC ID: 3072794999 Enrollment ID: I20110225000422 |
| Provider Name | Sally A French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538204102 PECOS PAC ID: 5193996866 Enrollment ID: I20110929000434 |
| Provider Name | Basant K Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679765895 PECOS PAC ID: 9931363132 Enrollment ID: I20120620000420 |
| Provider Name | Richard Selznick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013097138 PECOS PAC ID: 1052550241 Enrollment ID: I20130619000451 |
| Provider Name | Karim Waguih Ghobrial-sedky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093746836 PECOS PAC ID: 3375575509 Enrollment ID: I20131026000035 |
| Provider Name | Dina Goldstein Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982971354 PECOS PAC ID: 5890924104 Enrollment ID: I20140521001768 |
| Provider Name | Bradford D Bobrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255365367 PECOS PAC ID: 1850347816 Enrollment ID: I20151208002909 |
| Provider Name | Joseph K Stanilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154365138 PECOS PAC ID: 0840270229 Enrollment ID: I20160202002004 |
| Provider Name | Elizabeth R Saslow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801265483 PECOS PAC ID: 7214233865 Enrollment ID: I20160309000209 |
| Provider Name | Francis Louis Aguilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437602893 PECOS PAC ID: 7618263377 Enrollment ID: I20160906001217 |
| Provider Name | Lisa Juliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831526987 PECOS PAC ID: 7416245311 Enrollment ID: I20161010000531 |
| Provider Name | Shay N Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780983601 PECOS PAC ID: 9133438708 Enrollment ID: I20170329002549 |
| Provider Name | Christopher Anthony Milburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609037985 PECOS PAC ID: 6800042987 Enrollment ID: I20171227001201 |
| Provider Name | Anastasia Jean Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619480795 PECOS PAC ID: 4688932437 Enrollment ID: I20171227002216 |
| Provider Name | Igor Elman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548221559 PECOS PAC ID: 3173510039 Enrollment ID: I20180322000410 |
| Provider Name | Rajendra Badgaiyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316190689 PECOS PAC ID: 1850432402 Enrollment ID: I20180822001721 |
| Provider Name | Ryan Bausch Schmidt |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1073951687 PECOS PAC ID: 1658663471 Enrollment ID: I20180830000107 |
| Provider Name | Marlene A Chelso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780755769 PECOS PAC ID: 8426233974 Enrollment ID: I20181212000234 |
| Provider Name | Camtho Thi Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164993044 PECOS PAC ID: 2365788122 Enrollment ID: I20190115003088 |
| Provider Name | Christina Leighann Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275001646 PECOS PAC ID: 4587907464 Enrollment ID: I20190516000525 |
| Provider Name | Jillian Saad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871814269 PECOS PAC ID: 7517180052 Enrollment ID: I20190618000900 |
| Provider Name | Philip Joseph Fizur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730743600 PECOS PAC ID: 1951638212 Enrollment ID: I20190808002343 |
| Provider Name | Gretchen Elizabeth Magnani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609900455 PECOS PAC ID: 0446279905 Enrollment ID: I20191016000256 |
| Provider Name | Katey G Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336799709 PECOS PAC ID: 5991138083 Enrollment ID: I20191203002533 |
| Provider Name | Anthony L Rostain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760418446 PECOS PAC ID: 7113053794 Enrollment ID: I20200306001127 |
| Provider Name | Margaret Rode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932739273 PECOS PAC ID: 5294163598 Enrollment ID: I20200320000500 |
| Provider Name | Kathryn Basques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982954160 PECOS PAC ID: 0345558557 Enrollment ID: I20200917001656 |
| Provider Name | Caitlin Lagrotte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164046462 PECOS PAC ID: 8325468192 Enrollment ID: I20201015002853 |
| Provider Name | William Michael Skelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285235077 PECOS PAC ID: 8022429695 Enrollment ID: I20201203000578 |
| Provider Name | Shane Aldon Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910927 PECOS PAC ID: 5193137008 Enrollment ID: I20201218000027 |
| Provider Name | Alexis Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649887167 PECOS PAC ID: 4385057652 Enrollment ID: I20210105001746 |
| Provider Name | Puneet Sahota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871938449 PECOS PAC ID: 4587960869 Enrollment ID: I20210114000067 |
| Provider Name | Daisy Velez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417414400 PECOS PAC ID: 2365855020 Enrollment ID: I20210119002692 |
| Provider Name | Yingcheng Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104358142 PECOS PAC ID: 2668740291 Enrollment ID: I20210727002423 |
| Provider Name | Heather Skarbek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932639390 PECOS PAC ID: 4284038860 Enrollment ID: I20210804000545 |
| Provider Name | Heather E. Fellmeth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760158778 PECOS PAC ID: 2264820257 Enrollment ID: I20211025000918 |
| Provider Name | Alexa Michelle Hays |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801466297 PECOS PAC ID: 2163810094 Enrollment ID: I20211027000181 |
| Provider Name | Maju Koola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578602512 PECOS PAC ID: 7911185186 Enrollment ID: I20211214000018 |
| Provider Name | Gwendolyn Messer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881724946 PECOS PAC ID: 8325433436 Enrollment ID: I20220328000050 |
| Provider Name | Helen Partridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548765191 PECOS PAC ID: 0345622510 Enrollment ID: I20220804000904 |
| Provider Name | Lea Fowler Hecht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538691340 PECOS PAC ID: 0446527063 Enrollment ID: I20220809001525 |
| Provider Name | Richard William Hempel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366805863 PECOS PAC ID: 5496009961 Enrollment ID: I20220815000939 |
| Provider Name | Mark Baptiste |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396271938 PECOS PAC ID: 3870861578 Enrollment ID: I20220825001491 |
| Provider Name | Alyssa Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598488934 PECOS PAC ID: 0143696328 Enrollment ID: I20221012002638 |
| Provider Name | Jennifer Bush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760030092 PECOS PAC ID: 3870824873 Enrollment ID: I20221108000115 |
| Provider Name | Molly Kammen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952018970 PECOS PAC ID: 1759751068 Enrollment ID: I20230103000992 |
| Provider Name | Jane Greene Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710696760 PECOS PAC ID: 5092170217 Enrollment ID: I20230422000143 |
| Provider Name | Kate Terrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093377830 PECOS PAC ID: 7214332592 Enrollment ID: I20230609000671 |
| Provider Name | Atasha A Jordan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588125470 PECOS PAC ID: 0042671885 Enrollment ID: I20230726003351 |
| Provider Name | Arooj Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285294926 PECOS PAC ID: 4385000231 Enrollment ID: I20230811000030 |
| Provider Name | Lindsay Eileen Michel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669032090 PECOS PAC ID: 7719349430 Enrollment ID: I20230811003467 |
| Provider Name | Siana Lucille Ziemba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881183895 PECOS PAC ID: 8123473295 Enrollment ID: I20231010000387 |
| Provider Name | Leah Brogan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588238562 PECOS PAC ID: 7012350937 Enrollment ID: I20240208000074 |
Hispanic Family Center Of Southern New Jersey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Church St, Camden, NJ 08105 Phone: 856-541-6985 Fax: 856-963-2663 | |
Camden Day Residential Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Benson St, Camden, NJ 08103 Phone: 856-964-7291 Fax: 856-964-2775 | |
Velez Professional Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Atlantic Ave Fl 4, Camden, NJ 08104 Phone: 856-966-4515 | |
K&k Acquisitions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 N 36th St, Camden, NJ 08105 Phone: 609-706-5027 | |
South Jersey Beh Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Market St., Camden, NJ 08102 Phone: 856-541-1700 | |
Excel - Cfghs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Atlantic Ave, 4th Floor, Camden, NJ 08104 Phone: 856-983-3900 | |
Costar Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Cooper St, Camden, NJ 08102 Phone: 856-541-1700 Fax: 856-225-1373 |