| Southampton Psychiatric Associates Pc | |
|
1111 Street Rd Suite 312 Southampton PA 18966-4250 | |
| (215) 355-2011 | |
| (215) 396-1886 |
| Full Name | Southampton Psychiatric Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1111 Street Rd, Southampton, Pennsylvania |
| Authorized Official Name and Position | Denise Beard (OFFICE MANAGER) |
| Authorized Official Contact | 2153552011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southampton Psychiatric Associates Pc 1111 Street Rd Suite 312 Southampton PA 18966-4250 Ph: (215) 355-2011 | Southampton Psychiatric Associates Pc 1111 Street Rd Suite 312 Southampton PA 18966-4250 Ph: (215) 355-2011 |
| NPI Number | 1013926583 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 10/08/2007 |
| Medicare PECOS PAC ID | 3971583949 |
|---|---|
| Medicare Enrollment ID | O20040721000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013926583 | NPI | - | NPPES |
| 0977468000 | Other | IBC | |
| 37920 | Other | HIGHMARK | |
| 779800 | Other | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Razvan S Tornea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866164 PECOS PAC ID: 3173561636 Enrollment ID: I20050425000605 |
| Provider Name | Paul R Linder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568643070 PECOS PAC ID: 5991888539 Enrollment ID: I20080206000089 |
| Provider Name | M Samson Seplow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477686608 PECOS PAC ID: 0446323125 Enrollment ID: I20080715000284 |
| Provider Name | Christina A Fantauzzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831203579 PECOS PAC ID: 2264506229 Enrollment ID: I20080808000530 |
| Provider Name | Margaret Sayers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861403149 PECOS PAC ID: 7012194301 Enrollment ID: I20110615000790 |
| Provider Name | Kathleen Schramm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669586236 PECOS PAC ID: 0143255570 Enrollment ID: I20120124000129 |
| Provider Name | Mona S Masood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093070732 PECOS PAC ID: 1153615570 Enrollment ID: I20160809000088 |
| Provider Name | Lawrence J Tonetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952409229 PECOS PAC ID: 3375839673 Enrollment ID: I20160913002249 |
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