| Cognizant Behavioral Health Services | |
|
6 Dickinson Dr Ste 107 Chadds Ford PA 19317-9689 | |
| (610) 361-9500 | |
| (610) 361-9501 |
| Full Name | Cognizant Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6 Dickinson Dr Ste 107, Chadds Ford, Pennsylvania |
| Authorized Official Name and Position | Manisha Salil Kamat (PRESIDENT) |
| Authorized Official Contact | 4843269421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognizant Behavioral Health Services 6 Dickinson Dr Ste 107 Chadds Ford PA 19317-9689 Ph: (610) 361-9500 | Cognizant Behavioral Health Services 6 Dickinson Dr Ste 107 Chadds Ford PA 19317-9689 Ph: (610) 361-9500 |
| NPI Number | 1891042651 |
|---|---|
| Provider Enumeration Date | 08/11/2012 |
| Last Update Date | 08/11/2012 |
| Medicare PECOS PAC ID | 7911158282 |
|---|---|
| Medicare Enrollment ID | O20121114000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891042651 | NPI | - | NPPES |
| 1679755128 | Other | PA | NPI TYPE I |
| Provider Name | Joel B Capucao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972639334 PECOS PAC ID: 8224932116 Enrollment ID: I20050201000275 |
| Provider Name | Abdulbari K Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093838286 PECOS PAC ID: 3779500939 Enrollment ID: I20051027000056 |
| Provider Name | Manisha S Kamat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679755128 PECOS PAC ID: 8628135753 Enrollment ID: I20090317000465 |
| Provider Name | Eileen M Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063582542 PECOS PAC ID: 0547435265 Enrollment ID: I20111208000252 |
| Provider Name | Phyllis J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225320245 PECOS PAC ID: 5092992321 Enrollment ID: I20131212000100 |
| Provider Name | Treesa Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598159824 PECOS PAC ID: 9638476039 Enrollment ID: I20160330001724 |
| Provider Name | Paul Gushurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962805564 PECOS PAC ID: 4486944709 Enrollment ID: I20160527000773 |
| Provider Name | Dixie M Kime |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376848259 PECOS PAC ID: 7618262189 Enrollment ID: I20160823000945 |
| Provider Name | Pollie M Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568711240 PECOS PAC ID: 1951646892 Enrollment ID: I20181220001146 |
| Provider Name | Joseph M Lipiarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073948543 PECOS PAC ID: 4981094513 Enrollment ID: I20211214000662 |
| Provider Name | Shaynae Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285327064 PECOS PAC ID: 1759736937 Enrollment ID: I20231007000345 |
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