| Persoma P.c. | |
|
300 Oxford Dr Ste 110 Monroeville PA 15146-2361 | |
| (412) 823-5155 | |
| (412) 823-8262 |
| Full Name | Persoma P.c. |
|---|---|
| Speciality | Counselor |
| Location | 300 Oxford Dr Ste 110, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Aaron Jennings (OWNER) |
| Authorized Official Contact | 4128235155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Persoma P.c. 300 Oxford Dr Ste 110 Monroeville PA 15146-2361 Ph: (412) 823-5155 | Persoma P.c. 300 Oxford Dr Ste 110 Monroeville PA 15146-2361 Ph: (412) 823-5155 |
| NPI Number | 1790712156 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Medicare PECOS PAC ID | 9436046828 |
|---|---|
| Medicare Enrollment ID | O20040301001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790712156 | NPI | - | NPPES |
| 1583512 | Other | PA | BC/BS |
| 000630868 | Other | BC/BS | |
| 1583518 | Other | PA | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Luann Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407892136 PECOS PAC ID: 6709779085 Enrollment ID: I20040203000154 |
| Provider Name | Manuel D Reich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629093992 PECOS PAC ID: 6103713573 Enrollment ID: I20040301000947 |
| Provider Name | Joanna R Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255391264 PECOS PAC ID: 7315912722 Enrollment ID: I20040830000558 |
| Provider Name | Susan Padlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740277755 PECOS PAC ID: 8921069709 Enrollment ID: I20041025000772 |
| Provider Name | Shirley M Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518968999 PECOS PAC ID: 0244298735 Enrollment ID: I20041230000265 |
| Provider Name | Michele Devlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346314168 PECOS PAC ID: 7517909369 Enrollment ID: I20050523000941 |
| Provider Name | Steven D Malawski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184604548 PECOS PAC ID: 9335142645 Enrollment ID: I20060804000325 |
| Provider Name | Kathy A Mountz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699962043 PECOS PAC ID: 2769579697 Enrollment ID: I20071024000628 |
| Provider Name | Lynda R Formosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477665172 PECOS PAC ID: 6800973694 Enrollment ID: I20080403000125 |
| Provider Name | Nicholas W Carosella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700997939 PECOS PAC ID: 9537208822 Enrollment ID: I20091130000017 |
| Provider Name | John M Russo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346451606 PECOS PAC ID: 4183711849 Enrollment ID: I20110105000677 |
| Provider Name | Stephanie M Pasquarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346490745 PECOS PAC ID: 6204017734 Enrollment ID: I20110216000911 |
| Provider Name | Michelle R Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417255993 PECOS PAC ID: 6709063555 Enrollment ID: I20110606000137 |
| Provider Name | Wendy N Weinblum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962476374 PECOS PAC ID: 8123293685 Enrollment ID: I20111212000381 |
| Provider Name | John C Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174560122 PECOS PAC ID: 2769657956 Enrollment ID: I20111216000613 |
| Provider Name | Michelle L Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942579289 PECOS PAC ID: 0446426720 Enrollment ID: I20120111000605 |
| Provider Name | Laurene L Madine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235318270 PECOS PAC ID: 7810146172 Enrollment ID: I20121001000371 |
| Provider Name | Sarah C Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790044493 PECOS PAC ID: 7618128109 Enrollment ID: I20121109000215 |
| Provider Name | Brianne Noel Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952613820 PECOS PAC ID: 7719293224 Enrollment ID: I20150828001716 |
| Provider Name | Amy Wineman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760718217 PECOS PAC ID: 3971809179 Enrollment ID: I20160315001142 |
| Provider Name | Lisa Marie Maccarelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255689329 PECOS PAC ID: 0345521985 Enrollment ID: I20161220000442 |
| Provider Name | Nicole J Marinacci-magee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023560950 PECOS PAC ID: 7214218189 Enrollment ID: I20170109000835 |
| Provider Name | Stephanee Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386071678 PECOS PAC ID: 0749501328 Enrollment ID: I20170426002515 |
| Provider Name | Lynn E Coghill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508899451 PECOS PAC ID: 5698040459 Enrollment ID: I20171004000432 |
| Provider Name | Mrigaya Sinha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518466168 PECOS PAC ID: 4880956101 Enrollment ID: I20180327001353 |
| Provider Name | Laura Rausch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194296772 PECOS PAC ID: 7214274398 Enrollment ID: I20190128002104 |
| Provider Name | Jonathan C Simmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386286458 PECOS PAC ID: 8729414446 Enrollment ID: I20200128002501 |
| Provider Name | Amanda Simmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780280867 PECOS PAC ID: 3678985686 Enrollment ID: I20201216001684 |
| Provider Name | Sherri Renee Hughart Polhemus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760025159 PECOS PAC ID: 6901241280 Enrollment ID: I20240226003677 |
| Provider Name | Phyllis Pigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992461602 PECOS PAC ID: 2769830504 Enrollment ID: I20240301000129 |
| Provider Name | Jane Zwier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629247663 PECOS PAC ID: 1557719382 Enrollment ID: I20240305001544 |
| Provider Name | Paula Kassouf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003161712 PECOS PAC ID: 8527416379 Enrollment ID: I20240411000918 |
| Provider Name | Ashley Gradert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518369693 PECOS PAC ID: 4082062831 Enrollment ID: I20240512000005 |
East Suburban Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146 Phone: 412-373-3471 Fax: 412-373-7324 | |
Anchored Child & Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4232 Northern Pike Ste 102, Monroeville, PA 15146 Phone: 412-710-2966 Fax: 412-754-3083 | |
Sheryl Lewis-ferry Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4232 Northern Pike, Ste 304, Monroeville, PA 15146 Phone: 412-374-9729 Fax: 412-374-8171 | |
East Suburban Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146 Phone: 412-373-3471 Fax: 412-373-7324 | |
Bayada Home Health Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Oxford Dr Ste 150, Monroeville, PA 15146 Phone: 412-829-8006 Fax: 412-829-8118 | |
Three Family Support, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1026 Stonecliffe Dr, Monroeville, PA 15146 Phone: 412-579-2094 | |
Nisar Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Beatty Road, Monroeville, PA 15146 Phone: 412-374-8275 |