Jevs Human Services | |
9350 Ashton Rd Suite 201 Philadelphia PA 19114-3400 | |
(267) 350-8600 | |
(215) 255-4777 |
Full Name | Jevs Human Services |
---|---|
Speciality | Community/Behavioral Health |
Location | 9350 Ashton Rd, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Clara Thompson (SR EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2673508600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jevs Human Services 1845 Walnut St Fl 7 Philadelphia PA 19103-4713 Ph: () - | Jevs Human Services 9350 Ashton Rd Suite 201 Philadelphia PA 19114-3400 Ph: (267) 350-8600 |
NPI Number | 1851766125 |
---|---|
Provider Enumeration Date | 12/11/2015 |
Last Update Date | 02/14/2024 |
Certification Date | 02/14/2024 |
Medicare PECOS PAC ID | 8325352792 |
---|---|
Medicare Enrollment ID | O20181214000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851766125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Hallie A Lightdale |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922083682 PECOS PAC ID: 5597733634 Enrollment ID: I20181214000259 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |