| Equilibria Mental Health Services | |
|
525 S 4th St Ste 471 Philadelphia PA 19147-1582 | |
| (267) 861-3685 | |
| Not Available |
| Full Name | Equilibria Mental Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 525 S 4th St Ste 471, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Daniel James Gomez (VICE PRESIDENT) |
| Authorized Official Contact | 6107158289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibria Mental Health Services 1 Gateview Rd Wayne PA 19087-5324 Ph: (610) 715-8289 | Equilibria Mental Health Services 525 S 4th St Ste 471 Philadelphia PA 19147-1582 Ph: (267) 861-3685 |
| NPI Number | 1225792872 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 5698166783 |
|---|---|
| Medicare Enrollment ID | O20211228001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225792872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Katherine Michos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477795177 PECOS PAC ID: 9436207966 Enrollment ID: I20090511000272 |
| Provider Name | Katherine M Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700104791 PECOS PAC ID: 9739335894 Enrollment ID: I20120807000081 |
| Provider Name | Erica L Burgoon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417359167 PECOS PAC ID: 3870813181 Enrollment ID: I20150527001734 |
| Provider Name | Florencia Allegretti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992244842 PECOS PAC ID: 9537426432 Enrollment ID: I20171201000422 |
| Provider Name | Megan R Morel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639437262 PECOS PAC ID: 9032479845 Enrollment ID: I20180215001295 |
| Provider Name | Alexandra Charchut Moll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770991028 PECOS PAC ID: 2961622568 Enrollment ID: I20181128003122 |
| Provider Name | Heather Rachel Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942792643 PECOS PAC ID: 7810227709 Enrollment ID: I20190918003227 |
| Provider Name | Laura Kathleen Galindez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346805728 PECOS PAC ID: 7416289889 Enrollment ID: I20191105000371 |
| Provider Name | Avery Axel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922534619 PECOS PAC ID: 6709210297 Enrollment ID: I20191216000916 |
| Provider Name | Benjamin Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326415191 PECOS PAC ID: 9830510445 Enrollment ID: I20200608002354 |
| Provider Name | Emily Skale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366844813 PECOS PAC ID: 4981028941 Enrollment ID: I20200723000458 |
| Provider Name | Angelina Pelletier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285251207 PECOS PAC ID: 0446670475 Enrollment ID: I20201013002993 |
| Provider Name | Ademola O Fawole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871080358 PECOS PAC ID: 7618216151 Enrollment ID: I20201020001618 |
| Provider Name | Amanda Marie Large |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730798067 PECOS PAC ID: 0547669202 Enrollment ID: I20210528001650 |
| Provider Name | Samantha Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104400340 PECOS PAC ID: 3476921362 Enrollment ID: I20221128000859 |
| Provider Name | Kellie H Medendorp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588163158 PECOS PAC ID: 9537539812 Enrollment ID: I20230102000069 |
| Provider Name | Martin Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548220163 PECOS PAC ID: 2769451665 Enrollment ID: I20230405001116 |
| Provider Name | Daniel Yost |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942627286 PECOS PAC ID: 2163889536 Enrollment ID: I20230531002013 |
| Provider Name | Erin Hopkins Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497280556 PECOS PAC ID: 7719344019 Enrollment ID: I20230601000041 |
| Provider Name | Robert Paul Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659048288 PECOS PAC ID: 4082071386 Enrollment ID: I20230601000061 |
| Provider Name | Aleta A Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568199776 PECOS PAC ID: 1456706746 Enrollment ID: I20231005002511 |
| Provider Name | Eve Havivi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205210168 PECOS PAC ID: 5597117994 Enrollment ID: I20240122003090 |
| Provider Name | Sarah Pastore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407622798 PECOS PAC ID: 0143667261 Enrollment ID: I20240326000473 |
| Provider Name | Robert Edward Greco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013219880 PECOS PAC ID: 5991144917 Enrollment ID: I20240423002603 |
| Provider Name | Karen Suzanne Gould |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922199371 PECOS PAC ID: 1052850351 Enrollment ID: I20240830001197 |
| Provider Name | John Krall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467216671 PECOS PAC ID: 1658811286 Enrollment ID: I20240910004143 |
| Provider Name | Meaghan Fattizzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639665714 PECOS PAC ID: 0143752949 Enrollment ID: I20241017003531 |
| Provider Name | Kimberley C Desir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023743044 PECOS PAC ID: 9335671940 Enrollment ID: I20241021000181 |
| Provider Name | Madlyn Strouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588315709 PECOS PAC ID: 3870025497 Enrollment ID: I20241021000709 |
| Provider Name | Kianna Voorhees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619734647 PECOS PAC ID: 4385177849 Enrollment ID: I20241023001693 |
| Provider Name | Caitlin Rose Foley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326714726 PECOS PAC ID: 2365975786 Enrollment ID: I20241023004637 |
| Provider Name | Jill Ann Todd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588808414 PECOS PAC ID: 9537692553 Enrollment ID: I20241030000702 |
| Provider Name | Amber S Haley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720765563 PECOS PAC ID: 9032643713 Enrollment ID: I20241118002099 |
| Provider Name | Katelyn Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740903921 PECOS PAC ID: 5597291831 Enrollment ID: I20241210000856 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |