| Lindens/campus | |
|
311 Walton Ave Mount Laurel NJ 08054 | |
| (856) 348-1172 | |
| (856) 216-1269 |
| Full Name | Lindens/campus |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Location | 311 Walton Ave, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Gina Renee Burton (AVP PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 8563481181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindens/campus 1255 Caldwell Rd Cherry Hill NJ 08034-3220 Ph: (800) 774-5516 | Lindens/campus 311 Walton Ave Mount Laurel NJ 08054 Ph: (856) 348-1172 |
| NPI Number | 1598808941 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Medicare PECOS PAC ID | 4789582446 |
|---|---|
| Medicare Enrollment ID | O20031219000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598808941 | NPI | - | NPPES |
| Provider Name | Michael J Colis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578640942 PECOS PAC ID: 4284673526 Enrollment ID: I20050427000269 |
| Provider Name | Karen Lindgren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427277177 PECOS PAC ID: 5890737134 Enrollment ID: I20050526000025 |
| Provider Name | George E Mccandless |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790876860 PECOS PAC ID: 3072542968 Enrollment ID: I20050811000046 |
| Provider Name | Poornima Katakam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619178019 PECOS PAC ID: 4486679297 Enrollment ID: I20051011000688 |
| Provider Name | Ann D Florio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326264417 PECOS PAC ID: 5193713204 Enrollment ID: I20071121000213 |
| Provider Name | Lisa S Golod |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598910416 PECOS PAC ID: 2769532225 Enrollment ID: I20090604000351 |
| Provider Name | Gertrud M Ferst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942329230 PECOS PAC ID: 3971656505 Enrollment ID: I20090730000019 |
| Provider Name | Mary A Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447231501 PECOS PAC ID: 3870635667 Enrollment ID: I20100115000751 |
| Provider Name | Kimberly Baradei |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316277452 PECOS PAC ID: 2961547492 Enrollment ID: I20100308000694 |
| Provider Name | Jennifer Sabo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104157585 PECOS PAC ID: 2466588645 Enrollment ID: I20100326000498 |
| Provider Name | Lois C Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164797064 PECOS PAC ID: 1052572427 Enrollment ID: I20120411000398 |
| Provider Name | Lisa Alberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427140763 PECOS PAC ID: 7911143623 Enrollment ID: I20130425000510 |
| Provider Name | Sarah E West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427301258 PECOS PAC ID: 0749504520 Enrollment ID: I20150127001360 |
| Provider Name | Carolyn G Tassini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902294705 PECOS PAC ID: 7810213949 Enrollment ID: I20150306001531 |
| Provider Name | Linda L Paul |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528300720 PECOS PAC ID: 6002135902 Enrollment ID: I20150427001355 |
| Provider Name | Kelly Elizabeth Kollias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871978833 PECOS PAC ID: 3779899679 Enrollment ID: I20150908001307 |
| Provider Name | Alana Hollee Stamper-gimbar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275957268 PECOS PAC ID: 1759697659 Enrollment ID: I20150908001360 |
| Provider Name | Kurt P Miceli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316155450 PECOS PAC ID: 6608941869 Enrollment ID: I20150917000129 |
| Provider Name | Samantha Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528434784 PECOS PAC ID: 7810206729 Enrollment ID: I20151015001530 |
| Provider Name | Catherine D Love |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194132258 PECOS PAC ID: 7416259379 Enrollment ID: I20160108001446 |
| Provider Name | Jillian G Gordon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033574561 PECOS PAC ID: 1951604545 Enrollment ID: I20160114000594 |
| Provider Name | Jennifer Girgenti |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801928940 PECOS PAC ID: 5799088555 Enrollment ID: I20160128001137 |
| Provider Name | Kimberly A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194197434 PECOS PAC ID: 7416251574 Enrollment ID: I20160210000853 |
| Provider Name | Vanessa Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124256599 PECOS PAC ID: 6800190984 Enrollment ID: I20160210001480 |
| Provider Name | Diane Georgetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972963346 PECOS PAC ID: 4385941269 Enrollment ID: I20160321000072 |
| Provider Name | Claire Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780722769 PECOS PAC ID: 1254318207 Enrollment ID: I20160322002258 |
| Provider Name | Amanda Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144692138 PECOS PAC ID: 8224335674 Enrollment ID: I20160330000119 |
| Provider Name | Stacey Macpaintsil Ostrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962860601 PECOS PAC ID: 0648577007 Enrollment ID: I20160330000270 |
| Provider Name | Alison Tverdov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619333275 PECOS PAC ID: 5799082160 Enrollment ID: I20180815000849 |
Rosa Zenquis-mckoy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054 Phone: 609-721-3068 | |
Mt Laurel Ctr For The Family Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Route 73, Ramblewood Ctr Ste 12, Mount Laurel, NJ 08054 Phone: 856-722-9772 Fax: 856-722-9721 | |
Oaks Integrated Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97a W Bluebell Ln, Mount Laurel, NJ 08054 Phone: 609-267-5928 | |
Sand Castle Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Route 73 Ste 12, Mount Laurel, NJ 08054 Phone: 856-745-0238 | |
Pearl Prof Psych Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3804 Church Rd, Mount Laurel, NJ 08054 Phone: 856-778-2100 Fax: 856-787-9588 | |
Duckett & Charleston Psychological Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3221 Route 38 Ste 201, Mount Laurel, NJ 08054 Phone: 609-251-6947 | |
Marianne Clark Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3804 Church Rd, Mount Laurel, NJ 08054 Phone: 862-219-1125 |