| Rowansom Newjersey Institute For Successful Aging-geriatric Psychiatry | |
|
42 East Laurel Road Udp, Suite 1800 Stratford NJ 08084 | |
| (856) 566-6843 | |
| (856) 566-6419 |
| Full Name | Rowansom Newjersey Institute For Successful Aging-geriatric Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 42 East Laurel Road, Stratford, New Jersey |
| Authorized Official Name and Position | Michael Rieker (INTERIM CHIEF FINANCIAL OFFICIER) |
| Authorized Official Contact | 8567705729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowansom Newjersey Institute For Successful Aging-geriatric Psychiatry Po Box 635 Bellmawr NJ 08099-0635 Ph: (856) 566-6706 | Rowansom Newjersey Institute For Successful Aging-geriatric Psychiatry 42 East Laurel Road Udp, Suite 1800 Stratford NJ 08084 Ph: (856) 566-6843 |
| NPI Number | 1881668846 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 8325031792 |
|---|---|
| Medicare Enrollment ID | O20040403000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881668846 | NPI | - | NPPES |
| CK3636 | Other | NJ | RAILROAD MEDICARE |
| 7851006 | Medicaid | NJ |
| Provider Name | David Jason Libon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124008511 PECOS PAC ID: 7810882487 Enrollment ID: I20040220001074 |
| Provider Name | Martin M Forsberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790881944 PECOS PAC ID: 6800896283 Enrollment ID: I20070109000252 |
| Provider Name | Stephen Marc Scheinthal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790765196 PECOS PAC ID: 4789726233 Enrollment ID: I20100121000145 |
| Provider Name | Christian Paul White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629276746 PECOS PAC ID: 6103080338 Enrollment ID: I20120619000431 |
| Provider Name | Lisa Marie Bodenheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285820811 PECOS PAC ID: 7315245743 Enrollment ID: I20160418001807 |
| Provider Name | Mitchel Allan Kling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871643841 PECOS PAC ID: 3375682727 Enrollment ID: I20210707000388 |
| Provider Name | Yinka Uriah Read |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366060220 PECOS PAC ID: 5193144541 Enrollment ID: I20210723000322 |
| Provider Name | Lisa Burkholder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063990802 PECOS PAC ID: 5799021481 Enrollment ID: I20211025000795 |
Divad Zzen Therapy Boutique Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Yale Ave Ste B, Stratford, NJ 08084 Phone: 856-807-5363 | |
Rowansom Cares Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd Ste 1100, Stratford, NJ 08084 Phone: 856-566-7036 | |
Nadi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Laurel Rd, Stratford, NJ 08084 Phone: 201-562-3603 | |
Rowansom Dept. Of Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd, Suite 2100, Stratford, NJ 08084 Phone: 856-566-7020 Fax: 856-566-6188 | |
Rowansom Cares Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Laurel Rd E, Udp, Suite 1100, Stratford, NJ 08084 Phone: 856-566-7036 Fax: 856-566-6108 | |
Rowansom Newjersey Institute For Successful Aging-geriatric Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 | |
Comprehensive Treatment Services Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 119 E Laurel Rd, Stratford, NJ 08084 Phone: 856-889-2281 |