| Harmony Wellness Group Inc | |
|
9150 Marshall St Ste 16 Philadelphia PA 19114-2217 | |
| (484) 597-6516 | |
| Not Available |
| Full Name | Harmony Wellness Group Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9150 Marshall St Ste 16, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gianna Merian Diaz (C.E.O) |
| Authorized Official Contact | 4847671972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Wellness Group Inc 1214 Unity St Philadelphia PA 19124-3107 Ph: (215) 539-2470 | Harmony Wellness Group Inc 9150 Marshall St Ste 16 Philadelphia PA 19114-2217 Ph: (484) 597-6516 |
| NPI Number | 1760902753 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 04/01/2018 |
| Medicare PECOS PAC ID | 6800159286 |
|---|---|
| Medicare Enrollment ID | O20180417002656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760902753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Roger Erro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518185453 PECOS PAC ID: 7517935851 Enrollment ID: I20040923000687 |
| Provider Name | Christos Ballas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629005673 PECOS PAC ID: 6103857123 Enrollment ID: I20050829000943 |
| Provider Name | Ron David Mahlab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053452755 PECOS PAC ID: 3779514724 Enrollment ID: I20050830000106 |
| Provider Name | Maximo Lockward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114026721 PECOS PAC ID: 2365341385 Enrollment ID: I20061012000398 |
| Provider Name | Geraldine F Mayor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245271618 PECOS PAC ID: 5294821054 Enrollment ID: I20071010000282 |
| Provider Name | Robert Delano Polishook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609937606 PECOS PAC ID: 0840476834 Enrollment ID: I20110509000236 |
| Provider Name | Orlando Matiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104943802 PECOS PAC ID: 3779748959 Enrollment ID: I20120713000520 |
| Provider Name | Gerald A Floreza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740399641 PECOS PAC ID: 6204876774 Enrollment ID: I20140521000676 |
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