| Growth Opportunity Center | |
|
928 Jaymor Rd Ste B150 Southampton PA 18966-3853 | |
| (215) 947-8654 | |
| (215) 938-7607 |
| Full Name | Growth Opportunity Center |
|---|---|
| Speciality | Psychologist |
| Location | 928 Jaymor Rd Ste B150, Southampton, Pennsylvania |
| Authorized Official Name and Position | Judith Morrissey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2159478654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Opportunity Center 928 Jaymor Rd Ste B150 Southampton PA 18966-3853 Ph: (215) 947-8654 | Growth Opportunity Center 928 Jaymor Rd Ste B150 Southampton PA 18966-3853 Ph: (215) 947-8654 |
| NPI Number | 1649222761 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 9335051085 |
|---|---|
| Medicare Enrollment ID | O20031103000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649222761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS004299L (Pennsylvania) | Primary |
| Provider Name | Michael A Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497783328 PECOS PAC ID: 4688659147 Enrollment ID: I20040621000510 |
| Provider Name | Nancy B Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528004009 PECOS PAC ID: 5193700946 Enrollment ID: I20040624000104 |
| Provider Name | Alan Philip Bader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295790947 PECOS PAC ID: 8628048360 Enrollment ID: I20040729000444 |
| Provider Name | Zereen Fernandes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962502138 PECOS PAC ID: 1355315227 Enrollment ID: I20040825000951 |
| Provider Name | Katherine Cornwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487784740 PECOS PAC ID: 8628045754 Enrollment ID: I20050429000109 |
| Provider Name | Alyson Shore-adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336173038 PECOS PAC ID: 4082653795 Enrollment ID: I20050502000450 |
| Provider Name | Judith A Morrissey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528120953 PECOS PAC ID: 5597773150 Enrollment ID: I20060323000734 |
| Provider Name | Robert Zibelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669402871 PECOS PAC ID: 6901091495 Enrollment ID: I20101110000308 |
| Provider Name | Marlene Angert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619910064 PECOS PAC ID: 7416143425 Enrollment ID: I20101201001210 |
| Provider Name | Mary Ann Wall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730115536 PECOS PAC ID: 0749466589 Enrollment ID: I20110512000458 |
| Provider Name | Ann T Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790054799 PECOS PAC ID: 9830366368 Enrollment ID: I20120124000309 |
| Provider Name | Ron H Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831291434 PECOS PAC ID: 0042225542 Enrollment ID: I20120322000172 |
| Provider Name | Judith Lawrence Outten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174546592 PECOS PAC ID: 2466427786 Enrollment ID: I20121029000220 |
| Provider Name | Diane K Sizer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265478259 PECOS PAC ID: 9739336868 Enrollment ID: I20171211002715 |
| Provider Name | Justin P Benner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285033266 PECOS PAC ID: 7719230770 Enrollment ID: I20181022002964 |
| Provider Name | Sherry L Scena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447286703 PECOS PAC ID: 7416345640 Enrollment ID: I20211021000002 |
| Provider Name | Michael Patrick Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285001248 PECOS PAC ID: 6103214200 Enrollment ID: I20211021002703 |
| Provider Name | Elyse Marie Hibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205419298 PECOS PAC ID: 7618366360 Enrollment ID: I20211118000181 |
| Provider Name | Rachel Thome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053067769 PECOS PAC ID: 6507247368 Enrollment ID: I20220726000454 |
| Provider Name | Adeola Oluwabusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548848344 PECOS PAC ID: 9537540547 Enrollment ID: I20220815000852 |
| Provider Name | Jennifer Dagia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659400067 PECOS PAC ID: 9234482829 Enrollment ID: I20220816003791 |
| Provider Name | Lucy Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639887367 PECOS PAC ID: 9739559071 Enrollment ID: I20230103002490 |
| Provider Name | Duangporn O'toole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790402808 PECOS PAC ID: 8426420720 Enrollment ID: I20230215001097 |
| Provider Name | Rebecca Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851607956 PECOS PAC ID: 5092187112 Enrollment ID: I20230217000727 |
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