| Eleanor Health Professional Nj, Llc | |
|
2250 Chapel Ave W Ste 120 Cherry Hill NJ 08002-2051 | |
| (617) 419-0858 | |
| Not Available |
| Full Name | Eleanor Health Professional Nj, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2250 Chapel Ave W Ste 120, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Nzinga A Harrison (PRACTICE OWNER) |
| Authorized Official Contact | 6174190858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Health Professional Nj, Llc 221 Crescent St Ste 202 Waltham MA 02453-3425 Ph: (617) 419-0858 | Eleanor Health Professional Nj, Llc 2250 Chapel Ave W Ste 120 Cherry Hill NJ 08002-2051 Ph: (617) 419-0858 |
| NPI Number | 1790310738 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Medicare PECOS PAC ID | 3779904602 |
|---|---|
| Medicare Enrollment ID | O20200602001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790310738 | NPI | - | NPPES |
| Provider Name | Lindsay Larris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750647038 PECOS PAC ID: 0042430647 Enrollment ID: I20141002001476 |
| Provider Name | Odette C Tiomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578380 PECOS PAC ID: 9335465541 Enrollment ID: I20150306000479 |
| Provider Name | Keri Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962917468 PECOS PAC ID: 1557620325 Enrollment ID: I20180124001910 |
| Provider Name | Bret D Kirson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861700676 PECOS PAC ID: 8921341280 Enrollment ID: I20190530000846 |
| Provider Name | Nzinga Ajabu Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20200602001326 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20200602001924 |
| Provider Name | Shainna Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093330201 PECOS PAC ID: 1557788155 Enrollment ID: I20200827001986 |
| Provider Name | Paulo Juan Bagayas Verdeflor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831537372 PECOS PAC ID: 5294155180 Enrollment ID: I20201014002398 |
| Provider Name | Paula Weisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013542984 PECOS PAC ID: 8729408000 Enrollment ID: I20201027000811 |
| Provider Name | David Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492125 PECOS PAC ID: 1951710979 Enrollment ID: I20210504001431 |
| Provider Name | Anisha Shah Gosain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932608155 PECOS PAC ID: 5991104887 Enrollment ID: I20210526000670 |
| Provider Name | Choomia Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559638 PECOS PAC ID: 1759789340 Enrollment ID: I20211012003033 |
| Provider Name | Alexia Rose Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467001644 PECOS PAC ID: 7911397955 Enrollment ID: I20211206001117 |
| Provider Name | Jessica D Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063931095 PECOS PAC ID: 0547650525 Enrollment ID: I20211206002428 |
| Provider Name | Alessia Bhargava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881129013 PECOS PAC ID: 9739450081 Enrollment ID: I20221108001205 |
| Provider Name | Chad E Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740690411 PECOS PAC ID: 3870971898 Enrollment ID: I20230130000548 |
| Provider Name | Marisa Pamela Savic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875875 PECOS PAC ID: 4183036379 Enrollment ID: I20230203001886 |
| Provider Name | Evelyn C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508546383 PECOS PAC ID: 3971966359 Enrollment ID: I20230901000659 |
| Provider Name | Kristin Anna Caccavale |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235715921 PECOS PAC ID: 5496124679 Enrollment ID: I20240321000709 |
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