Intercultural Family Services, Inc. | |
4254-56 Chestnut Street Philadelphia PA 19104 | |
(215) 386-8490 | |
(215) 386-8494 |
Full Name | Intercultural Family Services, Inc. |
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Speciality | Psychologist |
Location | 4254-56 Chestnut Street, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Evelyn Marcha-hidalgo (CEO, EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2153861298 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intercultural Family Services, Inc. 4225 Chestnut St Philadelphia PA 19104-3014 Ph: (215) 386-1298 | Intercultural Family Services, Inc. 4254-56 Chestnut Street Philadelphia PA 19104 Ph: (215) 386-8490 |
NPI Number | 1467505065 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4981680790 |
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Medicare Enrollment ID | O20040624000594 |
Identifier | Type | State | Issuer |
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1467505065 | NPI | - | NPPES |
016434P8G | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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103TH0100X | Psychologist - Health Service | 105010 (Pennsylvania) | Primary |
Provider Name | Michel J Bien Aime |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225084411 PECOS PAC ID: 6709854938 Enrollment ID: I20040924000085 |
Provider Name | Priyankar Sarkar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215149661 PECOS PAC ID: 8729110705 Enrollment ID: I20100712000283 |
Provider Name | Cassandra A Rogers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801237649 PECOS PAC ID: 8123374162 Enrollment ID: I20180706000137 |
Provider Name | Kevin London |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851839849 PECOS PAC ID: 2466877279 Enrollment ID: I20200810003011 |
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