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1420 Walnut St Ste 802 Philadelphia PA 19102-4008 | |
| (610) 544-2110 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 1420 Walnut St Ste 802, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Amanda Bronson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
67 Burnside Ave East Hartford CT 06108-3408 Ph: (952) 246-4564 | 1420 Walnut St Ste 802 Philadelphia PA 19102-4008 Ph: (610) 544-2110 |
| NPI Number | 1811778988 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 9436502879 |
|---|---|
| Medicare Enrollment ID | O20240403001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811778988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Grant Strine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316969652 PECOS PAC ID: 1850387432 Enrollment ID: I20040421000095 |
| Provider Name | Stephanie J Wingate-gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881890762 PECOS PAC ID: 3678550944 Enrollment ID: I20040706000120 |
| Provider Name | Nikole J Heilmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073528717 PECOS PAC ID: 7719933076 Enrollment ID: I20050330000083 |
| Provider Name | Richard L Jaffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962448167 PECOS PAC ID: 2961446182 Enrollment ID: I20050617000336 |
| Provider Name | George V Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134280688 PECOS PAC ID: 5395778393 Enrollment ID: I20050912000261 |
| Provider Name | Adam Guss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922069442 PECOS PAC ID: 4284668252 Enrollment ID: I20050920000998 |
| Provider Name | Stephanie Mcmullan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023210697 PECOS PAC ID: 9931200664 Enrollment ID: I20070725000613 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295926194 PECOS PAC ID: 2163516469 Enrollment ID: I20070918000143 |
| Provider Name | Ushama Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154447738 PECOS PAC ID: 5597830364 Enrollment ID: I20080814000079 |
| Provider Name | Beverly P White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952540221 PECOS PAC ID: 8527112366 Enrollment ID: I20090813000553 |
| Provider Name | Nathaniel S Prentice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013158708 PECOS PAC ID: 8628124211 Enrollment ID: I20090923000538 |
| Provider Name | Kyle B Holsinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457445470 PECOS PAC ID: 9537218243 Enrollment ID: I20110401000561 |
| Provider Name | Ann E Steel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912009713 PECOS PAC ID: 4981880382 Enrollment ID: I20110519000652 |
| Provider Name | Jennifer L Bramson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972510337 PECOS PAC ID: 8820011083 Enrollment ID: I20110525000392 |
| Provider Name | Allyson L Galloway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033131339 PECOS PAC ID: 3072763242 Enrollment ID: I20121024000342 |
| Provider Name | Adina Sandman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639403116 PECOS PAC ID: 5092968404 Enrollment ID: I20130116000132 |
| Provider Name | Sara K Salib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588813091 PECOS PAC ID: 1850544008 Enrollment ID: I20130122000035 |
| Provider Name | Jacqueline Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093837817 PECOS PAC ID: 7719109867 Enrollment ID: I20141105002074 |
| Provider Name | Joanne E Morth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790189124 PECOS PAC ID: 1658693437 Enrollment ID: I20141205000440 |
| Provider Name | Robert S Katof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659355147 PECOS PAC ID: 6406174044 Enrollment ID: I20150413000212 |
| Provider Name | Reginal G Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568422897 PECOS PAC ID: 5092036277 Enrollment ID: I20150601001721 |
| Provider Name | Scott A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346259827 PECOS PAC ID: 6507167178 Enrollment ID: I20151228000461 |
| Provider Name | Rachele Lemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376645242 PECOS PAC ID: 2769785062 Enrollment ID: I20160120001861 |
| Provider Name | Alba M Hidalgo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962879429 PECOS PAC ID: 5294031308 Enrollment ID: I20160315001978 |
| Provider Name | Jillan Sackett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134339732 PECOS PAC ID: 7911298104 Enrollment ID: I20160617001562 |
| Provider Name | Wendy Lam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992240436 PECOS PAC ID: 9234413105 Enrollment ID: I20170222000269 |
| Provider Name | Nancy Deangelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013469238 PECOS PAC ID: 4082998448 Enrollment ID: I20170302000701 |
| Provider Name | Stephanie A Helms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871029769 PECOS PAC ID: 5698043701 Enrollment ID: I20170614001000 |
| Provider Name | Stephanie C Maier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730627753 PECOS PAC ID: 1850657255 Enrollment ID: I20171116002583 |
| Provider Name | Teresa L Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912120510 PECOS PAC ID: 2860750338 Enrollment ID: I20171212000222 |
| Provider Name | Laura Russo Innamorato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003900044 PECOS PAC ID: 2668655796 Enrollment ID: I20180226000747 |
| Provider Name | Nikita K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316246556 PECOS PAC ID: 8527312354 Enrollment ID: I20181114003034 |
| Provider Name | John L Durland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407322365 PECOS PAC ID: 5890039010 Enrollment ID: I20181129000152 |
| Provider Name | Varsha Godambe-jain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023581550 PECOS PAC ID: 2860730488 Enrollment ID: I20190206002135 |
| Provider Name | Brianna Bernardo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881177343 PECOS PAC ID: 8325389166 Enrollment ID: I20190404001791 |
| Provider Name | Jane Zakrzewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902364615 PECOS PAC ID: 5092057307 Enrollment ID: I20190506002403 |
| Provider Name | Holly L Grishkat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982826269 PECOS PAC ID: 9931439866 Enrollment ID: I20190919001107 |
| Provider Name | Nicole L Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104389311 PECOS PAC ID: 0749614501 Enrollment ID: I20200102002171 |
| Provider Name | Lee R Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194375204 PECOS PAC ID: 3678909389 Enrollment ID: I20200128002258 |
| Provider Name | Michael P Caiazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740528694 PECOS PAC ID: 8921436106 Enrollment ID: I20200323000550 |
| Provider Name | Julie Furst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548655327 PECOS PAC ID: 4981952553 Enrollment ID: I20200430000315 |
| Provider Name | Elizabeth Eunjin Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619528833 PECOS PAC ID: 0941631006 Enrollment ID: I20200506000708 |
| Provider Name | Laurie Beson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588025688 PECOS PAC ID: 7214353820 Enrollment ID: I20200813001262 |
| Provider Name | Roxanne Popple |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154948768 PECOS PAC ID: 0648697110 Enrollment ID: I20200828000870 |
| Provider Name | Matthew Aaron Brigle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952950800 PECOS PAC ID: 9032534086 Enrollment ID: I20201014000062 |
| Provider Name | Wendy Landrian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891163192 PECOS PAC ID: 3173937281 Enrollment ID: I20210202000759 |
| Provider Name | Daniel Scullington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215468962 PECOS PAC ID: 5294140521 Enrollment ID: I20210219000941 |
| Provider Name | Alicia Hurford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568038685 PECOS PAC ID: 4284034448 Enrollment ID: I20210610001172 |
| Provider Name | Yvonne Judge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164933446 PECOS PAC ID: 8628471844 Enrollment ID: I20210727000013 |
| Provider Name | Monique Buklan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083286058 PECOS PAC ID: 0749683548 Enrollment ID: I20210730000010 |
| Provider Name | Bryan Gottlieb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043881063 PECOS PAC ID: 1557766110 Enrollment ID: I20210819001070 |
| Provider Name | Teresa Mathew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730627951 PECOS PAC ID: 3375949399 Enrollment ID: I20210831000373 |
| Provider Name | Kari A Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114458353 PECOS PAC ID: 3870983281 Enrollment ID: I20211129001338 |
| Provider Name | Mary Schooff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841318201 PECOS PAC ID: 0547168155 Enrollment ID: I20211215002801 |
| Provider Name | Ginamarie Dattilo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497902829 PECOS PAC ID: 1355401530 Enrollment ID: I20220301001099 |
| Provider Name | Michele Lee Merdinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093347866 PECOS PAC ID: 9436544699 Enrollment ID: I20220325000021 |
| Provider Name | Trisha Ruffalo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558900092 PECOS PAC ID: 1153702782 Enrollment ID: I20220713004259 |
| Provider Name | Jordan Watson Galligan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962136754 PECOS PAC ID: 7810372109 Enrollment ID: I20220922003314 |
| Provider Name | Tajshana Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912479502 PECOS PAC ID: 0244607869 Enrollment ID: I20221110000486 |
| Provider Name | Brad Edward Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902956527 PECOS PAC ID: 6800267485 Enrollment ID: I20230118000738 |
| Provider Name | Carolyn Newton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073967659 PECOS PAC ID: 8820469224 Enrollment ID: I20230123001484 |
| Provider Name | Terry Lee Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215109285 PECOS PAC ID: 2961874557 Enrollment ID: I20230208000398 |
| Provider Name | Ellen Inverso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235841446 PECOS PAC ID: 2264804715 Enrollment ID: I20230208003184 |
| Provider Name | Thomas Patrick Fowkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083095533 PECOS PAC ID: 7719344654 Enrollment ID: I20230607002404 |
| Provider Name | Maggie L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619605011 PECOS PAC ID: 2769843267 Enrollment ID: I20230801000040 |
| Provider Name | Jayna Alexandra Burleigh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851016216 PECOS PAC ID: 3577925486 Enrollment ID: I20230809002297 |
| Provider Name | Elizabeth S Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598998064 PECOS PAC ID: 8921460528 Enrollment ID: I20230814003563 |
| Provider Name | Sarah Rose Dunleavy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942623673 PECOS PAC ID: 5395108385 Enrollment ID: I20230823003300 |
| Provider Name | Patrick William Mcguffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154606283 PECOS PAC ID: 6709246333 Enrollment ID: I20230911001590 |
| Provider Name | Elizabeth Ann Ringler-jayanthan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366957094 PECOS PAC ID: 7012360944 Enrollment ID: I20240126003954 |
| Provider Name | Kristi J Phillips-moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407935034 PECOS PAC ID: 3779935978 Enrollment ID: I20240228001730 |
| Provider Name | Katherine Cheng Gao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922627140 PECOS PAC ID: 1153742895 Enrollment ID: I20240918003699 |
| Provider Name | Kristina Erika Malley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053802181 PECOS PAC ID: 4981145869 Enrollment ID: I20240918003809 |
| Provider Name | Kevin Michael Hawk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861004574 PECOS PAC ID: 5698216521 Enrollment ID: I20240919000694 |
| Provider Name | Caren Boukalis Cisse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285350827 PECOS PAC ID: 3870024078 Enrollment ID: I20240929000031 |
| Provider Name | Nicole Capone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043556319 PECOS PAC ID: 9830620939 Enrollment ID: I20240930003768 |
| Provider Name | Wendy Lee Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437835345 PECOS PAC ID: 7012448012 Enrollment ID: I20241001003595 |
| Provider Name | Megan Liane Carina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154190833 PECOS PAC ID: 0143751180 Enrollment ID: I20241002000552 |
| Provider Name | Erin K Kowey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124518493 PECOS PAC ID: 1254862170 Enrollment ID: I20241003000107 |
| Provider Name | Kaitlyn Ashley Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770198350 PECOS PAC ID: 5991236838 Enrollment ID: I20241003000902 |
| Provider Name | Marjeta Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720552326 PECOS PAC ID: 3779961909 Enrollment ID: I20241003002433 |
| Provider Name | Nicholle R Charles-pierre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497943120 PECOS PAC ID: 4082146378 Enrollment ID: I20241010003968 |
| Provider Name | Luca Somorjai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538777057 PECOS PAC ID: 4284166703 Enrollment ID: I20241022000929 |
| Provider Name | Marjorie Gedney Vandemark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487078432 PECOS PAC ID: 9830621358 Enrollment ID: I20241022001512 |
| Provider Name | Melissa J Ressler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295721744 PECOS PAC ID: 2961866223 Enrollment ID: I20241022004100 |
| Provider Name | Alexandrea Scirrotto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295450435 PECOS PAC ID: 4688107170 Enrollment ID: I20241022004589 |
| Provider Name | Traci Anne Lordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831799733 PECOS PAC ID: 4880127307 Enrollment ID: I20241023000376 |
| Provider Name | David Seth Trebich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578587580 PECOS PAC ID: 5294268728 Enrollment ID: I20241023000566 |
| Provider Name | Amanda K Thomson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679114466 PECOS PAC ID: 7517353378 Enrollment ID: I20241023003090 |
| Provider Name | Lauren Jean Grove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922504695 PECOS PAC ID: 4385177435 Enrollment ID: I20241028001810 |
| Provider Name | Grace Clements |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568160851 PECOS PAC ID: 8325571482 Enrollment ID: I20241028002083 |
| Provider Name | Melissa Ellen Pomerantz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972292548 PECOS PAC ID: 7517490634 Enrollment ID: I20241029000919 |
| Provider Name | Adrienne M Maimone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588980668 PECOS PAC ID: 9335672476 Enrollment ID: I20241029001429 |
| Provider Name | Mark Edward Farin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063842136 PECOS PAC ID: 2062945009 Enrollment ID: I20241029001824 |
| Provider Name | Jennifer Anne Naspinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477225092 PECOS PAC ID: 9830623883 Enrollment ID: I20241113001740 |
| Provider Name | Megan Mckechnie-erb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598490682 PECOS PAC ID: 0042744963 Enrollment ID: I20241114000212 |
| Provider Name | Emily Demalto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770245417 PECOS PAC ID: 7012441934 Enrollment ID: I20241114000333 |
| Provider Name | Elizabeth Lee-ann Macneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932964954 PECOS PAC ID: 7911431838 Enrollment ID: I20241114000403 |
| Provider Name | David C Fales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750949632 PECOS PAC ID: 1052845948 Enrollment ID: I20241114002984 |
| Provider Name | Jordan Olivia Seidel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689305849 PECOS PAC ID: 1557896263 Enrollment ID: I20241118003720 |
| Provider Name | Stephanie Fudge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477102036 PECOS PAC ID: 9931634441 Enrollment ID: I20241120003870 |
| Provider Name | Elizabeth Ventre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639839483 PECOS PAC ID: 9830624238 Enrollment ID: I20241121003671 |
| Provider Name | Lana Selitsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750980546 PECOS PAC ID: 3971038381 Enrollment ID: I20241121004455 |
| Provider Name | Aarti Patel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346806726 PECOS PAC ID: 7517340342 Enrollment ID: I20241125000963 |
| Provider Name | Shannon Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093447765 PECOS PAC ID: 7214462407 Enrollment ID: I20241125002682 |
| Provider Name | Lydia Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164263331 PECOS PAC ID: 1355876582 Enrollment ID: I20241126000380 |
| Provider Name | Amanda Brianne Chamberlain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649908807 PECOS PAC ID: 6709311848 Enrollment ID: I20241126000882 |
| Provider Name | Sally Reeves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003040015 PECOS PAC ID: 9638436215 Enrollment ID: I20241126001272 |
| Provider Name | Meghan Elisabeth Riley-graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154724490 PECOS PAC ID: 5597290650 Enrollment ID: I20241126002063 |
| Provider Name | Megan M Covert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750703757 PECOS PAC ID: 6305371469 Enrollment ID: I20241126002120 |
| Provider Name | Francis Yaeger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407230402 PECOS PAC ID: 0840725909 Enrollment ID: I20241126002133 |
| Provider Name | Allyson Trull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184243446 PECOS PAC ID: 3971038043 Enrollment ID: I20241126002528 |
| Provider Name | Jennifer Burrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730780982 PECOS PAC ID: 9931507662 Enrollment ID: I20241126004503 |
| Provider Name | Rebecca Gouck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508513904 PECOS PAC ID: 8426583543 Enrollment ID: I20241126004520 |
| Provider Name | Kristen Ann Bransby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760614002 PECOS PAC ID: 6103942115 Enrollment ID: I20241127000136 |
| Provider Name | Robert Maurice Tierney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790188332 PECOS PAC ID: 3375078397 Enrollment ID: I20241127000498 |
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 |