| Mccd Nj Psychiatry Services Pllc | |
|
525 Route 73 N Ste 117 Marlton NJ 08053-3422 | |
| (833) 351-8255 | |
| Not Available |
| Full Name | Mccd Nj Psychiatry Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 525 Route 73 N Ste 117, Marlton, New Jersey |
| Authorized Official Name and Position | Georgia Gaveras (CEO/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9173097915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccd Nj Psychiatry Services Pllc 109 W 27th St Ste 5s New York NY 10001-6208 Ph: (917) 634-5311 | Mccd Nj Psychiatry Services Pllc 525 Route 73 N Ste 117 Marlton NJ 08053-3422 Ph: (833) 351-8255 |
| NPI Number | 1619638822 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7719371723 |
|---|---|
| Medicare Enrollment ID | O20220308000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619638822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ilisse Perlmutter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053491829 PECOS PAC ID: 4880656107 Enrollment ID: I20080207000019 |
| Provider Name | George Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487729141 PECOS PAC ID: 7113092271 Enrollment ID: I20080825000283 |
| Provider Name | Christine Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417064908 PECOS PAC ID: 2769662063 Enrollment ID: I20111221000365 |
| Provider Name | Brenda Camacho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821175134 PECOS PAC ID: 9638313737 Enrollment ID: I20130911000195 |
| Provider Name | Jada Khosla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457474272 PECOS PAC ID: 0648589192 Enrollment ID: I20151022002379 |
| Provider Name | Elaine Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710423702 PECOS PAC ID: 9638442718 Enrollment ID: I20170912002371 |
| Provider Name | Jonathan A Hertz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881747152 PECOS PAC ID: 8820014160 Enrollment ID: I20180522000313 |
| Provider Name | Jillian Saad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871814269 PECOS PAC ID: 7517180052 Enrollment ID: I20190618000900 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20191023003085 |
| Provider Name | David Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492125 PECOS PAC ID: 1951710979 Enrollment ID: I20210504001431 |
| Provider Name | Susan Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588196018 PECOS PAC ID: 0244632248 Enrollment ID: I20211004002390 |
| Provider Name | Arif Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033648068 PECOS PAC ID: 7113313685 Enrollment ID: I20220408002051 |
| Provider Name | Roshni Panchal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023423415 PECOS PAC ID: 1759778160 Enrollment ID: I20220503000823 |
| Provider Name | Stephen Geisler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891859914 PECOS PAC ID: 5890765226 Enrollment ID: I20220525002433 |
| Provider Name | Georgia Gaveras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801951090 PECOS PAC ID: 3375699838 Enrollment ID: I20220615000799 |
| Provider Name | Alice Jiang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649777376 PECOS PAC ID: 7315334349 Enrollment ID: I20220617001254 |
| Provider Name | Justin Pereira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912402348 PECOS PAC ID: 1153675756 Enrollment ID: I20220630001097 |
| Provider Name | Monica Badillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982083077 PECOS PAC ID: 0840621033 Enrollment ID: I20220704000252 |
| Provider Name | Maria Carvajal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841722493 PECOS PAC ID: 0345668356 Enrollment ID: I20221013001529 |
| Provider Name | Hallie Knopf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003313198 PECOS PAC ID: 4789064890 Enrollment ID: I20221020001924 |
| Provider Name | Neha Goel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770060576 PECOS PAC ID: 6507104619 Enrollment ID: I20221026000103 |
| Provider Name | Esha Garg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427555853 PECOS PAC ID: 1850640616 Enrollment ID: I20221028000118 |
| Provider Name | Avreliya Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003051178 PECOS PAC ID: 8224201991 Enrollment ID: I20221119000590 |
| Provider Name | Briana Mathews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690896 PECOS PAC ID: 6305249467 Enrollment ID: I20221119000596 |
| Provider Name | Daniel Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639249741 PECOS PAC ID: 9133162241 Enrollment ID: I20221121000034 |
| Provider Name | Emmalee Boyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407388572 PECOS PAC ID: 0446523898 Enrollment ID: I20221121000223 |
| Provider Name | Adele Veksman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578709572 PECOS PAC ID: 8628243789 Enrollment ID: I20221121000851 |
| Provider Name | Alexandra Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720432289 PECOS PAC ID: 8426392275 Enrollment ID: I20221121002562 |
| Provider Name | Zeynep Altun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154440758 PECOS PAC ID: 9638255664 Enrollment ID: I20221121002955 |
| Provider Name | Milena Goldshmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295095594 PECOS PAC ID: 0749589968 Enrollment ID: I20221121003375 |
| Provider Name | Nidhi Sharoha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285079178 PECOS PAC ID: 6507165636 Enrollment ID: I20221121003402 |
| Provider Name | Niru Nahar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316182074 PECOS PAC ID: 5799841102 Enrollment ID: I20221122003393 |
| Provider Name | Michael Underriner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568810109 PECOS PAC ID: 7618223553 Enrollment ID: I20221122003632 |
| Provider Name | Ayanna Swinton Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053359851 PECOS PAC ID: 2163445735 Enrollment ID: I20221125000132 |
| Provider Name | Lauren Devins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780851246 PECOS PAC ID: 7315007184 Enrollment ID: I20230109001892 |
| Provider Name | Nirupama Natarajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679068548 PECOS PAC ID: 7517349319 Enrollment ID: I20230323000156 |
| Provider Name | Shaneika Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467017392 PECOS PAC ID: 5496180119 Enrollment ID: I20230501000154 |
| Provider Name | Dana Sommers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326761776 PECOS PAC ID: 7810365582 Enrollment ID: I20230506000027 |
| Provider Name | Syed Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180299 PECOS PAC ID: 9234514472 Enrollment ID: I20230515003037 |
Tree Of Life Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Cooper Ave, Suite A, Marlton, NJ 08053 Phone: 856-905-3540 | |
Capstone Behavioral Health L.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 102 Centre Blvd Ste E, Marlton, NJ 08053 Phone: 856-462-6400 Fax: 856-302-0108 | |
Genesis Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003c Lincoln Drive West, Marlton, NJ 08053 Phone: 856-596-8007 Fax: 856-596-8699 | |
Center For Counseling And Education Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 E Main St, Marlton, NJ 08053 Phone: 856-985-9091 Fax: 856-985-9092 | |
Talkiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 525 Route 73 N Ste 117, Marlton, NJ 08053 Phone: 833-351-8255 | |
Marizita T Seher, Psyd, Limited Liability Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-4124 Fax: 609-261-7199 | |
Union Association Of The Children's Home Of Burlington County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 E Stow Rd, Marlton, NJ 08053 Phone: 609-267-5656 Fax: 609-265-1895 |