| Hispanic Community Counseling Services | |
|
3221 Kensington Ave Philadelphia PA 19134-1934 | |
| (215) 425-6900 | |
| (215) 425-6911 |
| Full Name | Hispanic Community Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3221 Kensington Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Ayala (VP FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 2154235000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic Community Counseling Services 3255 Kensington Ave Philadelphia PA 19134-1935 Ph: (215) 423-5000 | Hispanic Community Counseling Services 3221 Kensington Ave Philadelphia PA 19134-1934 Ph: (215) 425-6900 |
| NPI Number | 1194876052 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 0648454041 |
|---|---|
| Medicare Enrollment ID | O20110408000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194876052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 138500 (Pennsylvania) | Primary |
| Provider Name | Jesus Herrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104827278 PECOS PAC ID: 3072560689 Enrollment ID: I20050406000308 |
| Provider Name | Maria Teresa Zoratti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316000359 PECOS PAC ID: 3971504903 Enrollment ID: I20070118000166 |
| Provider Name | Geraldine F Mayor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245271618 PECOS PAC ID: 5294821054 Enrollment ID: I20071010000282 |
| Provider Name | Dierich M Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205990256 PECOS PAC ID: 6901943513 Enrollment ID: I20120627000007 |
| Provider Name | Congzhen Ou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891802559 PECOS PAC ID: 1557327533 Enrollment ID: I20171130001317 |
| Provider Name | Kiran Majeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447539754 PECOS PAC ID: 1153680574 Enrollment ID: I20231113002348 |
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