| Horizon House, Inc. | |
|
120 S 30th St Ist Division Philadelphia PA 19104-3403 | |
| (215) 386-3838 | |
| (215) 438-4872 |
| Full Name | Horizon House, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 120 S 30th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jeffrey Wilush (CEO PRESIDENT) |
| Authorized Official Contact | 2153863838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon House, Inc. 120 S 30th St Ist Division Philadelphia PA 19104-3403 Ph: (215) 386-3838 | Horizon House, Inc. 120 S 30th St Ist Division Philadelphia PA 19104-3403 Ph: (215) 386-3838 |
| NPI Number | 1841377611 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/04/2008 |
| Medicare PECOS PAC ID | 9638163645 |
|---|---|
| Medicare Enrollment ID | O20040413000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841377611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 17850 (Pennsylvania) | Primary |
| Provider Name | Dung P Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851320444 PECOS PAC ID: 1850374927 Enrollment ID: I20040610000054 |
| Provider Name | Abdulbari K Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093838286 PECOS PAC ID: 3779500939 Enrollment ID: I20051027000056 |
| Provider Name | Sayed S Alamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487662169 PECOS PAC ID: 1355348848 Enrollment ID: I20061025000556 |
| Provider Name | Russell Y Foo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649482985 PECOS PAC ID: 1951474527 Enrollment ID: I20080716000228 |
| Provider Name | James J Nocks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548203425 PECOS PAC ID: 0345318325 Enrollment ID: I20081003000293 |
| Provider Name | Paresh Pandya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760468870 PECOS PAC ID: 9234272253 Enrollment ID: I20100129000559 |
| Provider Name | Maria B Herrada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629051701 PECOS PAC ID: 9537334925 Enrollment ID: I20111214000104 |
| Provider Name | Harold F Cottman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972720688 PECOS PAC ID: 9638159718 Enrollment ID: I20120406000148 |
| Provider Name | Tracy L Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194863639 PECOS PAC ID: 9436313590 Enrollment ID: I20120621000300 |
| Provider Name | Yekaterina L Tatarchuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336374412 PECOS PAC ID: 3072751288 Enrollment ID: I20130530000093 |
| Provider Name | Ana Maria Sarasti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134159155 PECOS PAC ID: 4486640307 Enrollment ID: I20160303000891 |
| Provider Name | Jasmine Sawhne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467893875 PECOS PAC ID: 8325316623 Enrollment ID: I20170609000078 |
| Provider Name | Judith Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306264338 PECOS PAC ID: 2567769458 Enrollment ID: I20180924001338 |
| Provider Name | Leon E Cushenberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053669218 PECOS PAC ID: 1658660345 Enrollment ID: I20181012000941 |
| Provider Name | Ashley M Un |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366861817 PECOS PAC ID: 9234435447 Enrollment ID: I20181023000739 |
| Provider Name | Adam R Reish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891279659 PECOS PAC ID: 1951645225 Enrollment ID: I20181128001124 |
| Provider Name | Sheri L Hollander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780831149 PECOS PAC ID: 6204059264 Enrollment ID: I20190606001781 |
| Provider Name | Rachel M Talley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083034615 PECOS PAC ID: 2466707484 Enrollment ID: I20190730001881 |
| Provider Name | Kirsy Japa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558864678 PECOS PAC ID: 3779905534 Enrollment ID: I20200624000923 |
| Provider Name | Maureen W Waweru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033639422 PECOS PAC ID: 4082941851 Enrollment ID: I20210520000095 |
| Provider Name | Elise D Resnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063538023 PECOS PAC ID: 9335305150 Enrollment ID: I20210812002219 |
| Provider Name | Ralph Aquila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497814396 PECOS PAC ID: 4880848191 Enrollment ID: I20211025001988 |
| Provider Name | Thomas E Masullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821756057 PECOS PAC ID: 9335533470 Enrollment ID: I20220307000381 |
| Provider Name | Angel M Augustin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093211807 PECOS PAC ID: 7810377710 Enrollment ID: I20220709000586 |
| Provider Name | William R Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710482658 PECOS PAC ID: 6901286632 Enrollment ID: I20220712000577 |
| Provider Name | Danielle Marie Simpson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063947737 PECOS PAC ID: 6204104631 Enrollment ID: I20220920002463 |
| Provider Name | Karen V Fukutaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174547814 PECOS PAC ID: 9234123555 Enrollment ID: I20230202001195 |
| Provider Name | Christine M Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194439877 PECOS PAC ID: 7810352317 Enrollment ID: I20230507000004 |
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