| Penn Foundation Inc | |
|
807 Lawn Ave Sellersville PA 18960-1549 | |
| (215) 257-6551 | |
| (215) 257-9347 |
| Full Name | Penn Foundation Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 807 Lawn Ave, Sellersville, Pennsylvania |
| Authorized Official Name and Position | Wayne A. Mugrauer (CHIEF EXECUTIVE OFFICER PRESIDENT) |
| Authorized Official Contact | 2154535160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Foundation Inc 807 Lawn Avenue Po Box 32 Sellersville PA 18960 Ph: (215) 257-6551 | Penn Foundation Inc 807 Lawn Ave Sellersville PA 18960-1549 Ph: (215) 257-6551 |
| NPI Number | 1073572715 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 11/19/2014 |
| Medicare PECOS PAC ID | 0446246011 |
|---|---|
| Medicare Enrollment ID | O20040421000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073572715 | NPI | - | NPPES |
| PE113171 | Medicaid | PA | |
| 129323 | Other | PA | HEALTH CHOICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Scott M Harman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114063146 PECOS PAC ID: 9537068325 Enrollment ID: I20031231000054 |
| Provider Name | Alex T Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336171008 PECOS PAC ID: 6608776901 Enrollment ID: I20040112000431 |
| Provider Name | Najma Khanani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316992241 PECOS PAC ID: 5193616167 Enrollment ID: I20040322000481 |
| Provider Name | George C Ehrhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184630295 PECOS PAC ID: 2062485402 Enrollment ID: I20040816000046 |
| Provider Name | Farhad Sholevar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417953761 PECOS PAC ID: 4183685720 Enrollment ID: I20041027000055 |
| Provider Name | Nicole E Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942384045 PECOS PAC ID: 7517921521 Enrollment ID: I20041118000345 |
| Provider Name | Curtiss A Ladley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861403255 PECOS PAC ID: 8325003841 Enrollment ID: I20041124000078 |
| Provider Name | Wellesley E Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942384037 PECOS PAC ID: 2062411853 Enrollment ID: I20061205000127 |
| Provider Name | Marylynne Kemperman Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508083742 PECOS PAC ID: 5890891717 Enrollment ID: I20070509000167 |
| Provider Name | Elzbieta Fulinska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396843751 PECOS PAC ID: 4082712534 Enrollment ID: I20070606000329 |
| Provider Name | Olga L Infante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326177213 PECOS PAC ID: 5890896914 Enrollment ID: I20070719000441 |
| Provider Name | Tania C Martinez-jimenez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497961718 PECOS PAC ID: 1658468418 Enrollment ID: I20071026000321 |
| Provider Name | Elizabeth M Kriebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841319902 PECOS PAC ID: 8325135783 Enrollment ID: I20071101000086 |
| Provider Name | Carmen Diaz-burney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780756429 PECOS PAC ID: 0345202560 Enrollment ID: I20080214000380 |
| Provider Name | Nina A Drinnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023256872 PECOS PAC ID: 5496899304 Enrollment ID: I20100216000497 |
| Provider Name | Deborah L Strouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982615803 PECOS PAC ID: 5294879961 Enrollment ID: I20100218000428 |
| Provider Name | Maureen Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164538559 PECOS PAC ID: 6406048057 Enrollment ID: I20101014000512 |
| Provider Name | Olga Kissel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689868093 PECOS PAC ID: 5597936310 Enrollment ID: I20110927000346 |
| Provider Name | Alan David Sofranko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508995853 PECOS PAC ID: 3173787595 Enrollment ID: I20120615000377 |
| Provider Name | Christine Marchionni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962612572 PECOS PAC ID: 2860657491 Enrollment ID: I20120706000040 |
| Provider Name | Martine Susko Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183589 PECOS PAC ID: 3971751512 Enrollment ID: I20120924000554 |
| Provider Name | Maureen Gingerich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902119993 PECOS PAC ID: 3173753597 Enrollment ID: I20140305000727 |
| Provider Name | Sarah A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003185984 PECOS PAC ID: 6800026063 Enrollment ID: I20140308000202 |
| Provider Name | Lucille Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053527192 PECOS PAC ID: 2860615903 Enrollment ID: I20140519001296 |
| Provider Name | Padmapriya Marpuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619106572 PECOS PAC ID: 2163649328 Enrollment ID: I20140812000450 |
| Provider Name | Jennifer Sokol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083841290 PECOS PAC ID: 4486895851 Enrollment ID: I20140908000003 |
| Provider Name | Andrei Vedeniapin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508078791 PECOS PAC ID: 2163560236 Enrollment ID: I20150331000567 |
| Provider Name | Gibson George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881906014 PECOS PAC ID: 7315250339 Enrollment ID: I20150721000304 |
| Provider Name | Susan Judith Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417204777 PECOS PAC ID: 1557665999 Enrollment ID: I20160205000867 |
| Provider Name | Fahad Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053622969 PECOS PAC ID: 8628396942 Enrollment ID: I20160208001247 |
| Provider Name | Agata H Kaminska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366544967 PECOS PAC ID: 5597782474 Enrollment ID: I20160215001859 |
| Provider Name | Tobey I Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932386745 PECOS PAC ID: 7618273723 Enrollment ID: I20160315001764 |
| Provider Name | Howard Levin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417240185 PECOS PAC ID: 1850686197 Enrollment ID: I20160825000362 |
| Provider Name | James A James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386907780 PECOS PAC ID: 4486942232 Enrollment ID: I20161011000287 |
| Provider Name | Dwayne Henne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679003669 PECOS PAC ID: 3072882695 Enrollment ID: I20170712003591 |
| Provider Name | Danielle Annetta Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982189130 PECOS PAC ID: 7618221953 Enrollment ID: I20181126002004 |
| Provider Name | Rabiya Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821403551 PECOS PAC ID: 8426342056 Enrollment ID: I20190528000055 |
| Provider Name | Kanwardeep Singh Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548577943 PECOS PAC ID: 4981848603 Enrollment ID: I20190829002931 |
| Provider Name | Kaushik Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205234754 PECOS PAC ID: 5890057210 Enrollment ID: I20191015001756 |
| Provider Name | Shawn O Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823970 PECOS PAC ID: 6002249117 Enrollment ID: I20191204000087 |
| Provider Name | Meghan Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497186159 PECOS PAC ID: 4587098322 Enrollment ID: I20200102001631 |
| Provider Name | Erin Rachel Eagles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497297477 PECOS PAC ID: 7113352873 Enrollment ID: I20200127002241 |
| Provider Name | Amir Loghmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861853178 PECOS PAC ID: 2062750151 Enrollment ID: I20200710001508 |
| Provider Name | Erik John Radick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548624018 PECOS PAC ID: 4183961261 Enrollment ID: I20200902002878 |
| Provider Name | Kevin R Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528576527 PECOS PAC ID: 1254751555 Enrollment ID: I20201026000183 |
| Provider Name | Brenda Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265020812 PECOS PAC ID: 5193130847 Enrollment ID: I20210211000015 |
| Provider Name | Maaz Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366707317 PECOS PAC ID: 2961785068 Enrollment ID: I20210423000039 |
| Provider Name | Khaled Hesham Ezzeldien Said |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871099457 PECOS PAC ID: 2567710130 Enrollment ID: I20210812000084 |
| Provider Name | Alex Michael Slaby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265964340 PECOS PAC ID: 9436415114 Enrollment ID: I20210927001185 |
| Provider Name | Andrew Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033200506 PECOS PAC ID: 6507954690 Enrollment ID: I20210927001275 |
| Provider Name | Daniel Leonor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053844951 PECOS PAC ID: 0749550416 Enrollment ID: I20211011002278 |
| Provider Name | Audrey Medei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518568906 PECOS PAC ID: 1355749995 Enrollment ID: I20211012000880 |
| Provider Name | Alexander Kokolus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558037408 PECOS PAC ID: 2264830546 Enrollment ID: I20211018002818 |
| Provider Name | Stephanie Pinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598421380 PECOS PAC ID: 2769872423 Enrollment ID: I20211213000301 |
| Provider Name | Sandra Veigne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023467412 PECOS PAC ID: 1355731951 Enrollment ID: I20211213002227 |
| Provider Name | Emily Hangey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912663956 PECOS PAC ID: 1951791565 Enrollment ID: I20211214000014 |
| Provider Name | Monica Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952060238 PECOS PAC ID: 9931591575 Enrollment ID: I20220111002939 |
| Provider Name | Stefanie Chromiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487301958 PECOS PAC ID: 0446645154 Enrollment ID: I20220316001101 |
| Provider Name | Martin Witkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760976583 PECOS PAC ID: 0547649238 Enrollment ID: I20220627003089 |
| Provider Name | Eguono Eduvie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356735831 PECOS PAC ID: 7416260047 Enrollment ID: I20220629001482 |
| Provider Name | Rachael Nicole Yudt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184982001 PECOS PAC ID: 5193197432 Enrollment ID: I20230214001739 |
| Provider Name | Dennis Paek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487369161 PECOS PAC ID: 4981076130 Enrollment ID: I20230216000295 |
| Provider Name | Clay R Gueits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902148778 PECOS PAC ID: 3072979855 Enrollment ID: I20230522000403 |
| Provider Name | Tamoor Ilyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407418536 PECOS PAC ID: 4183085566 Enrollment ID: I20230801003944 |
| Provider Name | Thomas William Ritter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932656667 PECOS PAC ID: 4587015821 Enrollment ID: I20240110004710 |
| Provider Name | Lauren Keith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861961203 PECOS PAC ID: 2668824483 Enrollment ID: I20240117003233 |
| Provider Name | Kelley Winters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942868518 PECOS PAC ID: 7012369846 Enrollment ID: I20240117003617 |
| Provider Name | Zachary Slaby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154712834 PECOS PAC ID: 5890138259 Enrollment ID: I20240213002415 |
| Provider Name | Anthony Allsop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659834380 PECOS PAC ID: 5092166728 Enrollment ID: I20240220000719 |
| Provider Name | Christopher Antczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427429919 PECOS PAC ID: 9234573890 Enrollment ID: I20240222001138 |
| Provider Name | Charlotte Leedom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326055054 PECOS PAC ID: 2961847454 Enrollment ID: I20240223001857 |
| Provider Name | Amie Beth Allanson-dundon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972601268 PECOS PAC ID: 3173698560 Enrollment ID: I20240227001850 |
| Provider Name | Jena Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770348021 PECOS PAC ID: 2668819806 Enrollment ID: I20240322002507 |
| Provider Name | Sahar Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811358476 PECOS PAC ID: 8325385552 Enrollment ID: I20240328000469 |
| Provider Name | Adriana Caughie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619136546 PECOS PAC ID: 7719327501 Enrollment ID: I20240426001139 |
J.m. Grasse Elementary Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Rickert Rd, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Penn Foundation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Grand View Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4000 Fax: 215-453-4142 | |
Recovery Center Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
D & A Intensive Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Wellspring Clubhouse Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Sellersville, PA 18960 Phone: 215-257-4760 Fax: 215-257-6629 |