| Philadelphia Center For Psychotherapy | |
|
255 S 17th St Ste 1601 Philadelphia PA 19103-6216 | |
| (267) 277-3179 | |
| Not Available |
| Full Name | Philadelphia Center For Psychotherapy |
|---|---|
| Speciality | Psychologist |
| Location | 255 S 17th St Ste 1601, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Hider Shaaban (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 2672773179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Center For Psychotherapy 255 S 17th St Ste 1601 Philadelphia PA 19103-6216 Ph: () - | Philadelphia Center For Psychotherapy 255 S 17th St Ste 1601 Philadelphia PA 19103-6216 Ph: (267) 277-3179 |
| NPI Number | 1396497640 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Medicare PECOS PAC ID | 7416341474 |
|---|---|
| Medicare Enrollment ID | O20220308002642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396497640 | NPI | - | NPPES |
| 1578220232 | Other | PA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Hider Shaaban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578220232 PECOS PAC ID: 2668862947 Enrollment ID: I20211130001782 |
| Provider Name | Jessica Henninger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366841298 PECOS PAC ID: 0648649509 Enrollment ID: I20221215001426 |
| Provider Name | Zoey Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669163341 PECOS PAC ID: 2668832544 Enrollment ID: I20230725000016 |
| Provider Name | Emily Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447974043 PECOS PAC ID: 9234582669 Enrollment ID: I20240201000772 |
| Provider Name | Courtney Elizabeth Mccuen-wurst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619130622 PECOS PAC ID: 5395086540 Enrollment ID: I20240202002252 |
| Provider Name | Kenneth William Volk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669821096 PECOS PAC ID: 1658715636 Enrollment ID: I20240217000352 |
| Provider Name | Tressa Dabney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255199790 PECOS PAC ID: 1557708310 Enrollment ID: I20240328001855 |
| Provider Name | Haydn Leigh Hornstein-platt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306600275 PECOS PAC ID: 6305284548 Enrollment ID: I20240405002916 |
| Provider Name | Emily Cote |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770236630 PECOS PAC ID: 9739529587 Enrollment ID: I20240427000020 |
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