| Rutgers Health - Behavioral Health | |
|
57 Haddonfield Rd Building 120 Cherry Hill NJ 08002-4813 | |
| (800) 969-5300 | |
| Not Available |
| Full Name | Rutgers Health - Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 57 Haddonfield Rd, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Carl O'brien (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7322355940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Health - Behavioral Health 671 Hoes Ln W Piscataway NJ 08854-8021 Ph: () - | Rutgers Health - Behavioral Health 57 Haddonfield Rd Building 120 Cherry Hill NJ 08002-4813 Ph: (800) 969-5300 |
| NPI Number | 1891956298 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 07/31/2017 |
| Medicare PECOS PAC ID | 2466346770 |
|---|---|
| Medicare Enrollment ID | O20040419001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891956298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul G Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487626685 PECOS PAC ID: 9931000585 Enrollment ID: I20040116000202 |
| Provider Name | Sherie L Novotny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942218607 PECOS PAC ID: 9739077843 Enrollment ID: I20040310000046 |
| Provider Name | Lily Z Gutterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689752925 PECOS PAC ID: 4880684570 Enrollment ID: I20040514000626 |
| Provider Name | Madhulika Brahm Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033294202 PECOS PAC ID: 7810988656 Enrollment ID: I20040520001136 |
| Provider Name | Deborah A Riviere |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750469045 PECOS PAC ID: 6305837022 Enrollment ID: I20040521000102 |
| Provider Name | Christina M Silvaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790217032 PECOS PAC ID: 3870565377 Enrollment ID: I20040806000114 |
| Provider Name | Essam-eldin Ellabbad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510143 PECOS PAC ID: 6800888223 Enrollment ID: I20040921000954 |
| Provider Name | Delfin G Ibanez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144292210 PECOS PAC ID: 8224098868 Enrollment ID: I20041018000612 |
| Provider Name | Niveditha Meghadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063501872 PECOS PAC ID: 7911961859 Enrollment ID: I20041119000056 |
| Provider Name | Christabelle E D'souza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164589255 PECOS PAC ID: 0143217638 Enrollment ID: I20041209000617 |
| Provider Name | Lawrence R Shampain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881789816 PECOS PAC ID: 9133177595 Enrollment ID: I20050112000357 |
| Provider Name | Manuel I Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407828999 PECOS PAC ID: 0941259204 Enrollment ID: I20050113000902 |
| Provider Name | Shaila N Maddaiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760594766 PECOS PAC ID: 3870542400 Enrollment ID: I20050120000614 |
| Provider Name | Lisa Ryer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306864798 PECOS PAC ID: 8729039375 Enrollment ID: I20050201000824 |
| Provider Name | Anwar Y Ghali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093787145 PECOS PAC ID: 9739130816 Enrollment ID: I20050207000166 |
| Provider Name | Sara S Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659396653 PECOS PAC ID: 2163474008 Enrollment ID: I20050218000325 |
| Provider Name | Lisa H Chodosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124333174 PECOS PAC ID: 2668425273 Enrollment ID: I20050223000647 |
| Provider Name | Michelle L Zitomer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184856908 PECOS PAC ID: 5991752214 Enrollment ID: I20050407000888 |
| Provider Name | Miriam N Oles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619055910 PECOS PAC ID: 0749228211 Enrollment ID: I20050425000663 |
| Provider Name | Joleen A Sadlon Mcatee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184709883 PECOS PAC ID: 6406894989 Enrollment ID: I20050425000738 |
| Provider Name | Michael W Chabot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124236351 PECOS PAC ID: 6204875883 Enrollment ID: I20050503000644 |
| Provider Name | Nidagalle Gowda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851346399 PECOS PAC ID: 4981647179 Enrollment ID: I20050610000190 |
| Provider Name | Paula M Pesci Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598786337 PECOS PAC ID: 0143256529 Enrollment ID: I20050718000256 |
| Provider Name | Jayanthi Periasamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912966573 PECOS PAC ID: 0547292401 Enrollment ID: I20050831000683 |
| Provider Name | Ron Hirsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710925094 PECOS PAC ID: 3678506045 Enrollment ID: I20050915000805 |
| Provider Name | Ella Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255459475 PECOS PAC ID: 0547287682 Enrollment ID: I20051028000274 |
| Provider Name | Padma Palvai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891769527 PECOS PAC ID: 5698790327 Enrollment ID: I20051028000797 |
| Provider Name | Lori A Kalman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023106168 PECOS PAC ID: 1153349345 Enrollment ID: I20051107000194 |
| Provider Name | Cindy S Yeung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356356141 PECOS PAC ID: 7315965142 Enrollment ID: I20051114000459 |
| Provider Name | Zeba Saeed Nizam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598862930 PECOS PAC ID: 4385659010 Enrollment ID: I20060224000063 |
| Provider Name | Dorothy A Isecke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811935521 PECOS PAC ID: 0840293213 Enrollment ID: I20060825000022 |
| Provider Name | Jordan I Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023196359 PECOS PAC ID: 6901900349 Enrollment ID: I20070326000001 |
| Provider Name | Azima F Ashraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376577403 PECOS PAC ID: 2365542933 Enrollment ID: I20070711000646 |
| Provider Name | Kiranben J Jadeja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669595310 PECOS PAC ID: 2365538311 Enrollment ID: I20071022000624 |
| Provider Name | Vincent C Okabekwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619141918 PECOS PAC ID: 7911071345 Enrollment ID: I20080804000372 |
| Provider Name | Uros M Koprivica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922261676 PECOS PAC ID: 0345304382 Enrollment ID: I20090205000464 |
| Provider Name | Theresa M Miskimen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669550950 PECOS PAC ID: 4688731466 Enrollment ID: I20090323000270 |
| Provider Name | Veronica M Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700021391 PECOS PAC ID: 9830247568 Enrollment ID: I20090506000295 |
| Provider Name | Lateisha M Callender |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912151556 PECOS PAC ID: 8022166503 Enrollment ID: I20090512000104 |
| Provider Name | Sangeet Khanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225298896 PECOS PAC ID: 6204992761 Enrollment ID: I20090804000237 |
| Provider Name | Sueli S Petry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477638542 PECOS PAC ID: 3072652817 Enrollment ID: I20091208000162 |
| Provider Name | Thomas D Amato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912157116 PECOS PAC ID: 9739228859 Enrollment ID: I20100318000631 |
| Provider Name | Edward L Farkas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154313955 PECOS PAC ID: 2365572799 Enrollment ID: I20100611000337 |
| Provider Name | Mona Bijlani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518054931 PECOS PAC ID: 1052507282 Enrollment ID: I20101130000288 |
| Provider Name | Suzanne M Lind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437250644 PECOS PAC ID: 2163618315 Enrollment ID: I20101130000531 |
| Provider Name | Rebecca Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790863025 PECOS PAC ID: 0244426393 Enrollment ID: I20101201000453 |
| Provider Name | Sakina Z Gunja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639257934 PECOS PAC ID: 7315133345 Enrollment ID: I20101202000049 |
| Provider Name | Humberto Marin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558441287 PECOS PAC ID: 1355538141 Enrollment ID: I20101206000763 |
| Provider Name | Raymond Chong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720239023 PECOS PAC ID: 7315136249 Enrollment ID: I20110107000701 |
| Provider Name | Denise K Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437139441 PECOS PAC ID: 8820027782 Enrollment ID: I20110510000341 |
| Provider Name | Basirah Taha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750469094 PECOS PAC ID: 8527059120 Enrollment ID: I20110516000700 |
| Provider Name | Grace Abad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710203450 PECOS PAC ID: 3274710637 Enrollment ID: I20110613000055 |
| Provider Name | Marlon Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972752897 PECOS PAC ID: 1254500218 Enrollment ID: I20110808000595 |
| Provider Name | Donna E Dalgetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891945390 PECOS PAC ID: 8527238781 Enrollment ID: I20110825000038 |
| Provider Name | Aniqa Usmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457649451 PECOS PAC ID: 7113192154 Enrollment ID: I20111202000431 |
| Provider Name | Sarah M Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952480717 PECOS PAC ID: 8921273384 Enrollment ID: I20111213000639 |
| Provider Name | Jadira Amill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801109905 PECOS PAC ID: 1456526524 Enrollment ID: I20111219000895 |
| Provider Name | William S Zimmermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326126624 PECOS PAC ID: 5698922201 Enrollment ID: I20120904000043 |
| Provider Name | Danielle Parisi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770731655 PECOS PAC ID: 4789836750 Enrollment ID: I20121221000023 |
| Provider Name | Joshua Pfeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871838326 PECOS PAC ID: 0749434819 Enrollment ID: I20130128000108 |
| Provider Name | Ivan Lendvai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477537769 PECOS PAC ID: 6103877949 Enrollment ID: I20130313000025 |
| Provider Name | Rowena R Francisco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518045954 PECOS PAC ID: 1658511357 Enrollment ID: I20130701000107 |
| Provider Name | Ewaen O Okao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528358652 PECOS PAC ID: 1658557780 Enrollment ID: I20130820000276 |
| Provider Name | Batia Miretzky Drucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700182284 PECOS PAC ID: 6103060132 Enrollment ID: I20130913000091 |
| Provider Name | Donna M Nelson-henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366792467 PECOS PAC ID: 2567606494 Enrollment ID: I20130916000630 |
| Provider Name | Clarita N Obleada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538299615 PECOS PAC ID: 1254560139 Enrollment ID: I20140219001198 |
| Provider Name | Kristyn Verderosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245661131 PECOS PAC ID: 2163653171 Enrollment ID: I20140314001106 |
| Provider Name | Alejandro Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700974466 PECOS PAC ID: 8729203393 Enrollment ID: I20140716000261 |
| Provider Name | Yuli Fradkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255589461 PECOS PAC ID: 5496936924 Enrollment ID: I20140924000085 |
| Provider Name | John C Chatlos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497752695 PECOS PAC ID: 7810880614 Enrollment ID: I20141201000149 |
| Provider Name | Vangie Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154713303 PECOS PAC ID: 5496069718 Enrollment ID: I20150730013272 |
| Provider Name | Gladiette O Nkiru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083020010 PECOS PAC ID: 6103131826 Enrollment ID: I20150810002445 |
| Provider Name | Erika K Concepcion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477844660 PECOS PAC ID: 6800101635 Enrollment ID: I20150821014386 |
| Provider Name | Kolawole Adeoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454533 PECOS PAC ID: 6608185657 Enrollment ID: I20151014002344 |
| Provider Name | Gregory C Benson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831361120 PECOS PAC ID: 4284943580 Enrollment ID: I20151028001422 |
| Provider Name | Joshua Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548677974 PECOS PAC ID: 7719297407 Enrollment ID: I20151109002269 |
| Provider Name | Ivette Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296524 PECOS PAC ID: 6901106624 Enrollment ID: I20151202002955 |
| Provider Name | Stuart Belenker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124106463 PECOS PAC ID: 9436454931 Enrollment ID: I20160222001024 |
| Provider Name | Sondy Cadeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558729590 PECOS PAC ID: 8527363589 Enrollment ID: I20160229002581 |
| Provider Name | Isabel Allen Steinfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457398661 PECOS PAC ID: 5294748414 Enrollment ID: I20160511002042 |
| Provider Name | Jacqueline Durham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609235498 PECOS PAC ID: 0941599385 Enrollment ID: I20160525000967 |
| Provider Name | Christina Ruoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497048706 PECOS PAC ID: 1254627359 Enrollment ID: I20160915000283 |
| Provider Name | Jatinder Baring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717523 PECOS PAC ID: 2062791197 Enrollment ID: I20161114001503 |
| Provider Name | Johnson Babayemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902351711 PECOS PAC ID: 4880963990 Enrollment ID: I20170705003343 |
| Provider Name | Sana Naeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922533165 PECOS PAC ID: 3870862550 Enrollment ID: I20170712001498 |
| Provider Name | Thomas Ricart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518233600 PECOS PAC ID: 1557649738 Enrollment ID: I20170809000243 |
| Provider Name | Krystina Pazoga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336597269 PECOS PAC ID: 7911279427 Enrollment ID: I20170817003757 |
| Provider Name | Jerry Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467869727 PECOS PAC ID: 4385910280 Enrollment ID: I20171020000737 |
| Provider Name | Victoria Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366976581 PECOS PAC ID: 2163709486 Enrollment ID: I20171120002933 |
| Provider Name | Savitha Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780084590 PECOS PAC ID: 0547528390 Enrollment ID: I20171227001965 |
| Provider Name | Ifeoma Nwankwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134631526 PECOS PAC ID: 9234498833 Enrollment ID: I20180104001068 |
| Provider Name | Corinthia Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851479190 PECOS PAC ID: 1456380161 Enrollment ID: I20180119000777 |
| Provider Name | Judith D'agostino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609954981 PECOS PAC ID: 7810256583 Enrollment ID: I20180126000034 |
| Provider Name | Dianne White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548490469 PECOS PAC ID: 9638439250 Enrollment ID: I20180130002018 |
| Provider Name | Shefali Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659759447 PECOS PAC ID: 3375801442 Enrollment ID: I20180201001099 |
| Provider Name | Khabir Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669850897 PECOS PAC ID: 7113280678 Enrollment ID: I20180416000051 |
| Provider Name | Thomas Driscoll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083033484 PECOS PAC ID: 3072736685 Enrollment ID: I20180511000746 |
| Provider Name | Vamsee K Chaguturu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720404668 PECOS PAC ID: 5395000343 Enrollment ID: I20180523000831 |
| Provider Name | Providencia Lebron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396158523 PECOS PAC ID: 4385909043 Enrollment ID: I20180530000466 |
| Provider Name | Gargi Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417355959 PECOS PAC ID: 7719235704 Enrollment ID: I20180808000641 |
| Provider Name | Tenzing Yangchen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972845410 PECOS PAC ID: 2062647902 Enrollment ID: I20180815002833 |
| Provider Name | Jobin George Kallacheril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578967204 PECOS PAC ID: 9739438052 Enrollment ID: I20180821000131 |
| Provider Name | Juan M Marte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437128477 PECOS PAC ID: 8820984503 Enrollment ID: I20180828001549 |
| Provider Name | Peter O Ako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769197 PECOS PAC ID: 5092065862 Enrollment ID: I20180829002714 |
| Provider Name | Kazeem A Olajide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184110165 PECOS PAC ID: 6002169620 Enrollment ID: I20181030000514 |
| Provider Name | Julie Bourgeois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841768918 PECOS PAC ID: 9234473067 Enrollment ID: I20181205003356 |
| Provider Name | Joanna E Roma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811487119 PECOS PAC ID: 6305182189 Enrollment ID: I20190116000180 |
| Provider Name | Alice Agecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538590880 PECOS PAC ID: 3779821285 Enrollment ID: I20190207002525 |
| Provider Name | Tanya Ann Jones-awolusi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316482763 PECOS PAC ID: 6103165147 Enrollment ID: I20190308000897 |
| Provider Name | Lydia Nicole Keise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346562857 PECOS PAC ID: 1052652971 Enrollment ID: I20190402002874 |
| Provider Name | Yomarie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124435326 PECOS PAC ID: 8022230812 Enrollment ID: I20190405001506 |
| Provider Name | Chelsea L Rubinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205491198 PECOS PAC ID: 5890028146 Enrollment ID: I20190531001691 |
| Provider Name | Sally Ann Berry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881832129 PECOS PAC ID: 3577898493 Enrollment ID: I20190716000398 |
| Provider Name | Anthony Deo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558637934 PECOS PAC ID: 6103141254 Enrollment ID: I20190716002168 |
| Provider Name | Rajiv Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376757435 PECOS PAC ID: 3870489974 Enrollment ID: I20190805001674 |
| Provider Name | Helen Paulucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942356191 PECOS PAC ID: 0446580211 Enrollment ID: I20190920000018 |
| Provider Name | Uzoamaka Vanessa Onyejiaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548688211 PECOS PAC ID: 6901136209 Enrollment ID: I20190930003134 |
| Provider Name | Maureen Ndu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447725395 PECOS PAC ID: 5890026496 Enrollment ID: I20191014000468 |
| Provider Name | Devyani Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619395951 PECOS PAC ID: 3779814298 Enrollment ID: I20191015002541 |
| Provider Name | Neha Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962798033 PECOS PAC ID: 8820367840 Enrollment ID: I20191220000497 |
| Provider Name | Clarita Hipol-ligot |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124106430 PECOS PAC ID: 8426482001 Enrollment ID: I20200107003376 |
| Provider Name | Sonia Mulero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528600392 PECOS PAC ID: 2567898208 Enrollment ID: I20200129000024 |
| Provider Name | Ifeoluwa Akindunbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780568 PECOS PAC ID: 8820425754 Enrollment ID: I20200305000472 |
| Provider Name | Gilbert B Vicencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063042604 PECOS PAC ID: 0749619542 Enrollment ID: I20200330002819 |
| Provider Name | Maegan Ellsworth Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720511868 PECOS PAC ID: 7113357898 Enrollment ID: I20200421000310 |
| Provider Name | Sabrina Emily Starkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013429018 PECOS PAC ID: 5597186692 Enrollment ID: I20200527003175 |
| Provider Name | Justin Paul O'hea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689114431 PECOS PAC ID: 7810318615 Enrollment ID: I20200603001765 |
| Provider Name | Kevin Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027965 PECOS PAC ID: 4284928227 Enrollment ID: I20200617001422 |
| Provider Name | Brett Pellegrino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851927396 PECOS PAC ID: 5597188623 Enrollment ID: I20200708002601 |
| Provider Name | Monae Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740712603 PECOS PAC ID: 9638581051 Enrollment ID: I20201209000439 |
| Provider Name | Florencia Allegretti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992244842 PECOS PAC ID: 9537426432 Enrollment ID: I20201209000505 |
| Provider Name | Thomasean Britten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790195386 PECOS PAC ID: 3072730662 Enrollment ID: I20201211002825 |
| Provider Name | Firmin Langyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871106088 PECOS PAC ID: 8325452766 Enrollment ID: I20210127000426 |
| Provider Name | Keith Stowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457365249 PECOS PAC ID: 8022181007 Enrollment ID: I20210216000090 |
| Provider Name | Abdallah Riyad Ragab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356931968 PECOS PAC ID: 5991112906 Enrollment ID: I20210318000376 |
| Provider Name | Christiana Nduka-onwuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962027979 PECOS PAC ID: 9032526827 Enrollment ID: I20210323001017 |
| Provider Name | Cristina Couceiro Curto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467087221 PECOS PAC ID: 1254748734 Enrollment ID: I20210330000216 |
| Provider Name | Adrienne Lee Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356981815 PECOS PAC ID: 9830507839 Enrollment ID: I20210412001758 |
| Provider Name | Caitlin A Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740618529 PECOS PAC ID: 9234547142 Enrollment ID: I20210414000756 |
| Provider Name | Brittney Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700355815 PECOS PAC ID: 1456769074 Enrollment ID: I20210421000454 |
| Provider Name | Clarence Gocon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992308951 PECOS PAC ID: 7113336025 Enrollment ID: I20210505002254 |
| Provider Name | Yanick Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205448859 PECOS PAC ID: 3577972090 Enrollment ID: I20210512002070 |
| Provider Name | Sandhya C Praveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376170340 PECOS PAC ID: 2567871957 Enrollment ID: I20210517000084 |
| Provider Name | Jaime Nonestied |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497918262 PECOS PAC ID: 9032518766 Enrollment ID: I20210528000570 |
| Provider Name | Alkesh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932373081 PECOS PAC ID: 0042493082 Enrollment ID: I20210803000517 |
| Provider Name | Danielle Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578906905 PECOS PAC ID: 5991100968 Enrollment ID: I20210830001633 |
| Provider Name | Alexia Totoro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437564317 PECOS PAC ID: 9133527286 Enrollment ID: I20211005000431 |
| Provider Name | Lorayna L Gil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881363778 PECOS PAC ID: 4284032699 Enrollment ID: I20211014001753 |
| Provider Name | Giuseppina Schettino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831856202 PECOS PAC ID: 3971993965 Enrollment ID: I20211207000077 |
| Provider Name | Ademola Adesola Ogunruku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598376501 PECOS PAC ID: 6103216064 Enrollment ID: I20211208000856 |
| Provider Name | Oluwabukola Adasofunjo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114360666 PECOS PAC ID: 8022365113 Enrollment ID: I20220114001104 |
| Provider Name | Macary Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588209035 PECOS PAC ID: 7911399357 Enrollment ID: I20220118000081 |
| Provider Name | Althea G Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568084267 PECOS PAC ID: 4082006200 Enrollment ID: I20220121000087 |
| Provider Name | Debora Monserrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134698640 PECOS PAC ID: 9335488816 Enrollment ID: I20220201002947 |
| Provider Name | Fanta Mian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477216224 PECOS PAC ID: 7517350077 Enrollment ID: I20220203002662 |
| Provider Name | Sevil H Modeste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780209171 PECOS PAC ID: 5092100289 Enrollment ID: I20220325001302 |
| Provider Name | Kamora Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871883546 PECOS PAC ID: 2062899339 Enrollment ID: I20220509000051 |
| Provider Name | Jack Fatica |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811482516 PECOS PAC ID: 8022367721 Enrollment ID: I20220713003022 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689337685 PECOS PAC ID: 9335520972 Enrollment ID: I20220714000194 |
| Provider Name | Nikkia Bratcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154080398 PECOS PAC ID: 6709267735 Enrollment ID: I20220721001542 |
| Provider Name | Danielle Teresa Graddick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396338166 PECOS PAC ID: 6305228990 Enrollment ID: I20220728002705 |
| Provider Name | Robert Styles Randolph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508011552 PECOS PAC ID: 7911380167 Enrollment ID: I20220819002698 |
| Provider Name | Jamaal Emmanuel Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497005136 PECOS PAC ID: 2961879176 Enrollment ID: I20221101001073 |
| Provider Name | Sandy Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427530658 PECOS PAC ID: 9638546450 Enrollment ID: I20221108003326 |
| Provider Name | Induruwa Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427678820 PECOS PAC ID: 5890189930 Enrollment ID: I20221116001903 |
| Provider Name | Carla Ruth Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467037481 PECOS PAC ID: 5799153995 Enrollment ID: I20221118002266 |
| Provider Name | Nicole Starace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720368830 PECOS PAC ID: 6901108638 Enrollment ID: I20221124000117 |
| Provider Name | Yvonne Tancredi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831533744 PECOS PAC ID: 9830476266 Enrollment ID: I20221223001133 |
| Provider Name | Erin Michele Stewart-romulus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275044307 PECOS PAC ID: 3274904628 Enrollment ID: I20230120002754 |
| Provider Name | Lubna Javed Qureshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326554668 PECOS PAC ID: 0143692889 Enrollment ID: I20230207001002 |
| Provider Name | Corey N Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124769690 PECOS PAC ID: 6608240973 Enrollment ID: I20230328002489 |
| Provider Name | Jamie Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114568805 PECOS PAC ID: 4789058942 Enrollment ID: I20230330000687 |
| Provider Name | Kenneth E Ogali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215523493 PECOS PAC ID: 2961877956 Enrollment ID: I20230404002919 |
| Provider Name | Cecilia Eloisa Peraza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164021630 PECOS PAC ID: 1759756612 Enrollment ID: I20230405003046 |
| Provider Name | Payal K Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710204086 PECOS PAC ID: 4981833803 Enrollment ID: I20230406000190 |
| Provider Name | Sabrina Gottlieb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174062285 PECOS PAC ID: 7214302082 Enrollment ID: I20230408000223 |
| Provider Name | Eman Lordi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437513900 PECOS PAC ID: 8921473752 Enrollment ID: I20230410002157 |
| Provider Name | Zahra Basseda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962909382 PECOS PAC ID: 8628433364 Enrollment ID: I20230502000550 |
| Provider Name | Mehvesh Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740712850 PECOS PAC ID: 0446599914 Enrollment ID: I20230901002885 |
| Provider Name | Claudette Ollivierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356058044 PECOS PAC ID: 7214391655 Enrollment ID: I20230918003852 |
| Provider Name | Jennifer Katherine Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306035233 PECOS PAC ID: 1254787542 Enrollment ID: I20231023002008 |
| Provider Name | Devin Michael Bucino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659861011 PECOS PAC ID: 5890142848 Enrollment ID: I20231113001729 |
| Provider Name | Jaimie Helen Miraglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528547783 PECOS PAC ID: 3375991763 Enrollment ID: I20231123000068 |
| Provider Name | Phoebe Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013676204 PECOS PAC ID: 6507215308 Enrollment ID: I20231205002549 |
| Provider Name | Jillian Lee Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659934354 PECOS PAC ID: 2769831999 Enrollment ID: I20231213000128 |
| Provider Name | Kadijah Villafana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649718420 PECOS PAC ID: 4880043975 Enrollment ID: I20231214002731 |
| Provider Name | Jennifer Catherine Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043776446 PECOS PAC ID: 7911356910 Enrollment ID: I20231216000032 |
| Provider Name | Walter Barr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871057604 PECOS PAC ID: 0749639672 Enrollment ID: I20231218000894 |
| Provider Name | Mary A Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386722650 PECOS PAC ID: 7719336643 Enrollment ID: I20231218000986 |
| Provider Name | Rognial Fleurmont |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689381113 PECOS PAC ID: 6002266913 Enrollment ID: I20231219000362 |
| Provider Name | Kristin M Pitman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861699431 PECOS PAC ID: 2860842770 Enrollment ID: I20231219000592 |
| Provider Name | Tracy A. Higgins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073776142 PECOS PAC ID: 7618327560 Enrollment ID: I20231219002017 |
| Provider Name | Michael Pente |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447692280 PECOS PAC ID: 4688024565 Enrollment ID: I20231219003065 |
| Provider Name | Michele Ann Corker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366008666 PECOS PAC ID: 9537519319 Enrollment ID: I20231219003309 |
| Provider Name | Nicholas C Kolodiy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619055944 PECOS PAC ID: 1153771944 Enrollment ID: I20231219003873 |
| Provider Name | Dana Rotio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255845558 PECOS PAC ID: 9032569835 Enrollment ID: I20231220000217 |
| Provider Name | Raushanah Reid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760831572 PECOS PAC ID: 4183074933 Enrollment ID: I20231220002126 |
| Provider Name | Apexa Patel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558875187 PECOS PAC ID: 1951751650 Enrollment ID: I20231221000212 |
| Provider Name | Arlene Raynor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427235118 PECOS PAC ID: 4385094036 Enrollment ID: I20231221002059 |
| Provider Name | George Fredrick Rosemond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164721858 PECOS PAC ID: 2961676101 Enrollment ID: I20231221002830 |
| Provider Name | Jennifer Palinkas-chavez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477808699 PECOS PAC ID: 7012367691 Enrollment ID: I20231221003938 |
| Provider Name | Benjamin T Brisson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801160924 PECOS PAC ID: 8921458407 Enrollment ID: I20231224000069 |
| Provider Name | Rakiyah Adamu-sambare |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942971544 PECOS PAC ID: 1355791583 Enrollment ID: I20231229000744 |
| Provider Name | Renee Digrigoli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740441914 PECOS PAC ID: 5698125854 Enrollment ID: I20231229002057 |
| Provider Name | Rachel M Kornmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720660822 PECOS PAC ID: 3779933940 Enrollment ID: I20231229002456 |
| Provider Name | Beth Bromberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124303771 PECOS PAC ID: 7517317712 Enrollment ID: I20240101000129 |
| Provider Name | John Markey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760560080 PECOS PAC ID: 5799135901 Enrollment ID: I20240102000115 |
| Provider Name | Vivette Alston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982472148 PECOS PAC ID: 8527418581 Enrollment ID: I20240103002150 |
| Provider Name | Hannah Marcus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477153401 PECOS PAC ID: 0840641817 Enrollment ID: I20240104001215 |
| Provider Name | Christena Ibrahim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093352858 PECOS PAC ID: 6901257690 Enrollment ID: I20240106000736 |
| Provider Name | Melissa Vaccari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932764750 PECOS PAC ID: 3375994072 Enrollment ID: I20240107000126 |
| Provider Name | Jessica Bordas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508459405 PECOS PAC ID: 4183075807 Enrollment ID: I20240108000709 |
| Provider Name | Amber Mcguigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245009752 PECOS PAC ID: 5395196919 Enrollment ID: I20240109000373 |
| Provider Name | Beth Allyssa Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720631302 PECOS PAC ID: 0840641387 Enrollment ID: I20240109001482 |
| Provider Name | Jenny Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902310816 PECOS PAC ID: 9739530205 Enrollment ID: I20240109002361 |
| Provider Name | David Cudia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235250077 PECOS PAC ID: 9638521735 Enrollment ID: I20240112004246 |
| Provider Name | Zakkiyyah Sally |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841751559 PECOS PAC ID: 5597117564 Enrollment ID: I20240116002527 |
| Provider Name | Adisa Alghali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063870384 PECOS PAC ID: 2860844727 Enrollment ID: I20240117001088 |
| Provider Name | Dennis Rotondi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417919705 PECOS PAC ID: 0840677431 Enrollment ID: I20240130000557 |
| Provider Name | Shamagne Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053672352 PECOS PAC ID: 2466896212 Enrollment ID: I20240220002186 |
| Provider Name | Audrey Statelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114299021 PECOS PAC ID: 3870938996 Enrollment ID: I20240228003954 |
| Provider Name | Jacqueline Baxley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558485045 PECOS PAC ID: 1951746973 Enrollment ID: I20240229002984 |
| Provider Name | Stacy Lynn Liegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972140168 PECOS PAC ID: 9537504469 Enrollment ID: I20240229003617 |
| Provider Name | Tamika Lashawn Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174960355 PECOS PAC ID: 7719324888 Enrollment ID: I20240325002723 |
| Provider Name | Caitlin Gale Kearns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154033801 PECOS PAC ID: 3274970397 Enrollment ID: I20240326000695 |
| Provider Name | Kemi Bakare |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942872338 PECOS PAC ID: 1850730425 Enrollment ID: I20240415004166 |
| Provider Name | Brianna Goitiandia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740722271 PECOS PAC ID: 7113366287 Enrollment ID: I20240423000138 |
| Provider Name | Ashley Lobbato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972135051 PECOS PAC ID: 4284074584 Enrollment ID: I20240503001534 |
| Provider Name | Jonathan Nussbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295970747 PECOS PAC ID: 5799125993 Enrollment ID: I20240506001014 |
| Provider Name | Arthur Karwowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396043535 PECOS PAC ID: 2961843313 Enrollment ID: I20240516000140 |
| Provider Name | David Hosfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568849636 PECOS PAC ID: 6800238064 Enrollment ID: I20240521000356 |
| Provider Name | Kimberly R Merson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194041723 PECOS PAC ID: 8729420302 Enrollment ID: I20240528003534 |
Spring Behavioral Health Of New Jersey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Route 70 E Ste 2, Cherry Hill, NJ 08034 Phone: 610-544-2110 | |
Center For Emotional Fitness Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Utah Ave, Cherry Hill, NJ 08002 Phone: 856-857-9500 Fax: 856-857-9120 | |
Michael S. Fingerman, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Morris Dr, Cherry Hill, NJ 08003 Phone: 856-427-6994 Fax: 856-216-7146 | |
Brett Dinovi & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1771 Springdale Rd, Cherry Hill, NJ 08003 Phone: 856-628-1686 Fax: 480-393-4069 | |
Sonnheim Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3022 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-667-9705 Fax: 856-667-3694 | |
Depression Doctors Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1010 Kings Hwy S Ste 2101, Cherry Hill, NJ 08034 Phone: 856-208-7300 Fax: 856-254-0019 | |
Twin Oaks Community Services., Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Cooper Landing Rd, Cherry Hill, NJ 08002 Phone: 609-267-5928 |