Creative Health Services, Inc. | |
929 Willow St Pottstown PA 19464-1811 | |
(610) 326-7734 | |
(610) 326-4762 |
Full Name | Creative Health Services, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 929 Willow St, Pottstown, Pennsylvania |
Authorized Official Name and Position | P. Andrew Trentacoste (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4849410500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creative Health Services, Inc. 11 Robinson St Pottstown PA 19464-6421 Ph: (484) 941-0500 | Creative Health Services, Inc. 929 Willow St Pottstown PA 19464-1811 Ph: (610) 326-7734 |
NPI Number | 1124194121 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 03/01/2019 |
Medicare PECOS PAC ID | 2365340528 |
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Medicare Enrollment ID | O20040109000892 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124194121 | NPI | - | NPPES |
100751163 | Medicaid | PA |
Provider Name | Robert B Chambliss |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780611202 PECOS PAC ID: 6507833910 Enrollment ID: I20040915000283 |
Provider Name | Michael Dorfman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629060587 PECOS PAC ID: 9830123900 Enrollment ID: I20050920000068 |
Provider Name | Karen G Newman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508997180 PECOS PAC ID: 8022194604 Enrollment ID: I20080324000229 |
Provider Name | Mario A Ercole |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891891008 PECOS PAC ID: 3577649169 Enrollment ID: I20080324000343 |
Provider Name | Gail Corrado |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780899187 PECOS PAC ID: 2567534472 Enrollment ID: I20080710000167 |
Provider Name | Tanya F Kirby |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740493022 PECOS PAC ID: 1153498837 Enrollment ID: I20080922000557 |
Provider Name | Donna J Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114259512 PECOS PAC ID: 8628266459 Enrollment ID: I20101221000764 |
Provider Name | Bernard Amiel Harris |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1619081726 PECOS PAC ID: 0345419156 Enrollment ID: I20110812000317 |
Provider Name | Anna C Hicks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083978001 PECOS PAC ID: 1557517810 Enrollment ID: I20120802000320 |
Provider Name | Valerie P Vitale |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598195851 PECOS PAC ID: 2264741677 Enrollment ID: I20151027000654 |
Provider Name | Nancy L Mullen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972928869 PECOS PAC ID: 7214231109 Enrollment ID: I20160215000163 |
Provider Name | Renee A Denobrega |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316263882 PECOS PAC ID: 9739403056 Enrollment ID: I20171106001543 |
Provider Name | Adjoa Amoah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942710660 PECOS PAC ID: 8022378264 Enrollment ID: I20180207001549 |
Provider Name | Edward Francis Caruso |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780658864 PECOS PAC ID: 5496842775 Enrollment ID: I20180626000062 |
Provider Name | Tiffany D Wagner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902294325 PECOS PAC ID: 1850647405 Enrollment ID: I20180712000007 |
Provider Name | Krystine Carter |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831499706 PECOS PAC ID: 8820054018 Enrollment ID: I20181106001207 |
Provider Name | William E Kim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316258064 PECOS PAC ID: 5799023800 Enrollment ID: I20190215000886 |
Provider Name | Robert Ryan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790141778 PECOS PAC ID: 6709128085 Enrollment ID: I20190507002551 |
Provider Name | Shawn O Aikens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740823970 PECOS PAC ID: 6002249117 Enrollment ID: I20191204000087 |
Provider Name | Tanja Gustafson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700309283 PECOS PAC ID: 5496171167 Enrollment ID: I20200812003430 |
Provider Name | Laurie Beson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588025688 PECOS PAC ID: 7214353820 Enrollment ID: I20200813001262 |
Provider Name | Heather R Hudock |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265894547 PECOS PAC ID: 4880093764 Enrollment ID: I20210526000281 |
Provider Name | Katharine P Wenocur |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285018135 PECOS PAC ID: 7719366079 Enrollment ID: I20220617000409 |
Provider Name | Sandra L Bamford |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265184576 PECOS PAC ID: 4385023548 Enrollment ID: I20220617000728 |
Provider Name | Wilmarie Montero-negron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548965262 PECOS PAC ID: 8921467804 Enrollment ID: I20230711000244 |
Provider Name | Kala Fell |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1922427699 PECOS PAC ID: 9931558772 Enrollment ID: I20231205004048 |
Provider Name | Stacie Courtney Mustaphi |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1407204670 PECOS PAC ID: 9436509254 Enrollment ID: I20231220000863 |
Provider Name | Katlyn Walters |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801556352 PECOS PAC ID: 8022469642 Enrollment ID: I20240109000329 |
Provider Name | Joseph T Hempsey |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215408174 PECOS PAC ID: 9537508080 Enrollment ID: I20240416003171 |
Provider Name | Briana Brogan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689209470 PECOS PAC ID: 0143669564 Enrollment ID: I20240418001777 |
Provider Name | Alec Schwartz |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922450006 PECOS PAC ID: 3577911361 Enrollment ID: I20240423003266 |
Provider Name | Carl P Navarrete |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104290725 PECOS PAC ID: 7416306105 Enrollment ID: I20240423003541 |
Provider Name | Luke Wilson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619649332 PECOS PAC ID: 6103275342 Enrollment ID: I20240425001785 |
Provider Name | David Rothwell |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831569342 PECOS PAC ID: 1456700251 Enrollment ID: I20240507002761 |
Provider Name | Elizabeth Daughtry |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053815803 PECOS PAC ID: 1153770607 Enrollment ID: I20240515002590 |
Provider Name | Kelley Giannett |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477802874 PECOS PAC ID: 4789032574 Enrollment ID: I20240522002753 |
Provider Name | Madeline Osarczuk |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366095630 PECOS PAC ID: 2567810344 Enrollment ID: I20240522003056 |
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Arthur David Hamarich Dba Gateway Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1700 E High St, Suite 250, Pottstown, PA 19464 Phone: 610-323-8866 Fax: 610-323-1406 | |
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