| Ne Mental Health Inc | |
|
9892 Bustleton Ave Ste 306 Philadelphia PA 19115-2140 | |
| (267) 475-1188 | |
| (215) 364-9726 |
| Full Name | Ne Mental Health Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9892 Bustleton Ave Ste 306, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Irina S Stern (PRESIDENT) |
| Authorized Official Contact | 2674751188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ne Mental Health Inc 9892 Bustleton Ave Ste 306 Philadelphia PA 19115-2140 Ph: (267) 475-1188 | Ne Mental Health Inc 9892 Bustleton Ave Ste 306 Philadelphia PA 19115-2140 Ph: (267) 475-1188 |
| NPI Number | 1588189815 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3577839430 |
|---|---|
| Medicare Enrollment ID | O20171019002428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588189815 | NPI | - | NPPES |
| 0017728620002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS-007883-L (Pennsylvania) | Primary |
| Provider Name | Irina S Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518017805 PECOS PAC ID: 3779770342 Enrollment ID: I20101208000606 |
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