| Path, Inc | |
|
1919 Cottman Ave Philadelphia PA 19111-3816 | |
| (215) 728-4600 | |
| Not Available |
| Full Name | Path, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1919 Cottman Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jessica Varela Correa (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2157284597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path, Inc 1919 Cottman Ave Philadelphia PA 19111-3816 Ph: (215) 728-4600 | Path, Inc 1919 Cottman Ave Philadelphia PA 19111-3816 Ph: (215) 728-4600 |
| NPI Number | 1265547160 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 9537107636 |
|---|---|
| Medicare Enrollment ID | O20050420000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265547160 | NPI | - | NPPES |
| 100001584 | Medicaid | PA |
| Provider Name | Adam J Goodman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710952536 PECOS PAC ID: 4284686866 Enrollment ID: I20050211000068 |
| Provider Name | Susan Barbar Loeb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194822296 PECOS PAC ID: 7719926526 Enrollment ID: I20050502000441 |
| Provider Name | Jean Y Bai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265631105 PECOS PAC ID: 4082707476 Enrollment ID: I20070830000188 |
| Provider Name | Isabella Sosnovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942252507 PECOS PAC ID: 6800081803 Enrollment ID: I20101117000082 |
| Provider Name | David C Kaicher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336371079 PECOS PAC ID: 5991839235 Enrollment ID: I20110801000615 |
| Provider Name | Nora M Kramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952352742 PECOS PAC ID: 1557536281 Enrollment ID: I20111208000382 |
| Provider Name | Stuart L Levinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881793628 PECOS PAC ID: 7214103365 Enrollment ID: I20111220000743 |
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