| Jewish Family Psych Services | |
|
345 Montgomery Ave Rear Bala Cynwyd PA 19004-2801 | |
| (267) 256-2100 | |
| Not Available |
| Full Name | Jewish Family Psych Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 345 Montgomery Ave Rear, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Courtney Diane Owen (PROGRAM OFFICER) |
| Authorized Official Contact | 2678381462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Psych Services 345 Montgomery Ave Rear Bala Cynwyd PA 19004-2801 Ph: (267) 256-2100 | Jewish Family Psych Services 345 Montgomery Ave Rear Bala Cynwyd PA 19004-2801 Ph: (267) 256-2100 |
| NPI Number | 1639231012 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 7113915513 |
|---|---|
| Medicare Enrollment ID | O20040504001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639231012 | NPI | - | NPPES |
| 1000008810019 | Other | PA | DPW PDA WAIVER |
| 1000008810009 | Medicaid | PA | |
| 1000008810025 | Other | PA | DEPT OF PUBLIC WELFARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sue Duberstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083801716 PECOS PAC ID: 4880841824 Enrollment ID: I20120828000107 |
| Provider Name | Jessica L Foltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730538299 PECOS PAC ID: 0143597146 Enrollment ID: I20170523001279 |
| Provider Name | Sara R Francesconi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760043244 PECOS PAC ID: 7517375892 Enrollment ID: I20210427000829 |
| Provider Name | Michael T Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962075101 PECOS PAC ID: 8123423480 Enrollment ID: I20210825000131 |
| Provider Name | Dana M Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043973993 PECOS PAC ID: 9032509377 Enrollment ID: I20211201000740 |
| Provider Name | Or Ben Ari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487352647 PECOS PAC ID: 8729444864 Enrollment ID: I20230516002857 |
| Provider Name | Suzannah K Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831897099 PECOS PAC ID: 0345607115 Enrollment ID: I20230609001099 |
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