| Psych Choices Of The Delaware Valley, Llc | |
|
5060 State Rd Drexel Hill PA 19026-4609 | |
| (610) 626-8085 | |
| (610) 626-8032 |
| Full Name | Psych Choices Of The Delaware Valley, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5060 State Rd, Drexel Hill, Pennsylvania |
| Authorized Official Name and Position | Damani Irby (OWNER) |
| Authorized Official Contact | 6106268085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Choices Of The Delaware Valley, Llc 5060 State Rd Drexel Hill PA 19026-4609 Ph: (610) 626-8085 | Psych Choices Of The Delaware Valley, Llc 5060 State Rd Drexel Hill PA 19026-4609 Ph: (610) 626-8085 |
| NPI Number | 1194213892 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 04/27/2018 |
| Medicare PECOS PAC ID | 9133483688 |
|---|---|
| Medicare Enrollment ID | O20180509000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194213892 | NPI | - | NPPES |
| Provider Name | Donald David Tomlinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750446548 PECOS PAC ID: 7810984499 Enrollment ID: I20040427000298 |
| Provider Name | Michael Montie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295750610 PECOS PAC ID: 0143276493 Enrollment ID: I20050330000036 |
| Provider Name | Fred B Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023072303 PECOS PAC ID: 5799710349 Enrollment ID: I20051003000170 |
| Provider Name | Alice G Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811044373 PECOS PAC ID: 6507889961 Enrollment ID: I20060111000932 |
| Provider Name | Frances A Meehan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740257864 PECOS PAC ID: 7214945500 Enrollment ID: I20060328000716 |
| Provider Name | Norman Eisenstadt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114182110 PECOS PAC ID: 5395756308 Enrollment ID: I20060505000175 |
| 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 | Margaret F Fuhs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578740460 PECOS PAC ID: 0042358764 Enrollment ID: I20091117000292 |
| Provider Name | Jeffrey J Dekret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154330231 PECOS PAC ID: 3375610884 Enrollment ID: I20110429000335 |
| Provider Name | Sarah E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790945848 PECOS PAC ID: 2567620339 Enrollment ID: I20120224000331 |
| Provider Name | Tracy L Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194863639 PECOS PAC ID: 9436313590 Enrollment ID: I20120621000300 |
| Provider Name | Deanna J Palacios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922432616 PECOS PAC ID: 8325282130 Enrollment ID: I20130918000160 |
| Provider Name | Aita K Susi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336137249 PECOS PAC ID: 6204994221 Enrollment ID: I20140415001027 |
| Provider Name | Charles Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700989951 PECOS PAC ID: 2769615707 Enrollment ID: I20140429000486 |
| Provider Name | Monique Tia Searight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801306014 PECOS PAC ID: 2567721681 Enrollment ID: I20180118001646 |
| Provider Name | Jessica Goldhirsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659613552 PECOS PAC ID: 9931447463 Enrollment ID: I20190208000092 |
| Provider Name | Kimberlie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164077384 PECOS PAC ID: 1759702855 Enrollment ID: I20200527003241 |
| Provider Name | Carla Cathline Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801377817 PECOS PAC ID: 9638573983 Enrollment ID: I20210809001017 |
| Provider Name | Debra Seave Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073103800 PECOS PAC ID: 5799189957 Enrollment ID: I20210810002131 |
| Provider Name | Allison Keidat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942937974 PECOS PAC ID: 1052787835 Enrollment ID: I20221019001631 |
| Provider Name | James Abiola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255062048 PECOS PAC ID: 1759748270 Enrollment ID: I20230526002196 |
| Provider Name | Joshua Clemmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023723954 PECOS PAC ID: 7517317506 Enrollment ID: I20240103002961 |
| Provider Name | Mallory Lynne Mizvitowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427815042 PECOS PAC ID: 5395184402 Enrollment ID: I20240422001413 |
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