| Wellspan Philhaven | |
|
283 S Butler Rd Lebanon PA 17042-8939 | |
| (717) 270-2443 | |
| Not Available |
| Full Name | Wellspan Philhaven |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 283 S Butler Rd, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Mantha Kotsalos (VP & PRESIDENT PHILHAVEN) |
| Authorized Official Contact | 7172702423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Philhaven 601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | Wellspan Philhaven 283 S Butler Rd Lebanon PA 17042-8939 Ph: (717) 270-2443 |
| NPI Number | 1043316441 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 8729991419 |
|---|---|
| Medicare Enrollment ID | O20031110000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043316441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Steven M Cartun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053317602 PECOS PAC ID: 1153310008 Enrollment ID: I20040507000220 |
| Provider Name | Johann Othmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518050327 PECOS PAC ID: 3072503580 Enrollment ID: I20040517000502 |
| Provider Name | Jeremy A Walters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457434912 PECOS PAC ID: 6507842069 Enrollment ID: I20040625000292 |
| Provider Name | Michael A Fueyo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942235049 PECOS PAC ID: 8820040587 Enrollment ID: I20050214000406 |
| Provider Name | Marion M Welch Bunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871556928 PECOS PAC ID: 0749226645 Enrollment ID: I20050714000139 |
| Provider Name | Paul R Dorgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568542983 PECOS PAC ID: 9133143282 Enrollment ID: I20060117000585 |
| Provider Name | Katherine K Ranck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730241969 PECOS PAC ID: 5597789370 Enrollment ID: I20060119000463 |
| Provider Name | Charlene M Peachey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750442877 PECOS PAC ID: 6103840764 Enrollment ID: I20060123000098 |
| Provider Name | Melanie A Baer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053491407 PECOS PAC ID: 9537173612 Enrollment ID: I20060127000220 |
| Provider Name | Lauren Noelle Tsai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134280985 PECOS PAC ID: 1850305129 Enrollment ID: I20060127000412 |
| Provider Name | Barry Stoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932260056 PECOS PAC ID: 7810901899 Enrollment ID: I20060130000083 |
| Provider Name | Gregg C Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639256860 PECOS PAC ID: 1052419314 Enrollment ID: I20070611000100 |
| Provider Name | Alok Saharan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376756148 PECOS PAC ID: 9931290822 Enrollment ID: I20070807000412 |
| Provider Name | Letitia A Covaci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316069560 PECOS PAC ID: 3779661921 Enrollment ID: I20080429000276 |
| Provider Name | Karen E Juhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689820029 PECOS PAC ID: 1355400961 Enrollment ID: I20081111000259 |
| Provider Name | Kathleen L Elnaggar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679799845 PECOS PAC ID: 8820152788 Enrollment ID: I20090122000079 |
| Provider Name | Camelia Popa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699871988 PECOS PAC ID: 4587688585 Enrollment ID: I20090206000228 |
| Provider Name | Lorraine M Wharton Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437103637 PECOS PAC ID: 4587686019 Enrollment ID: I20090422000484 |
| Provider Name | Paul Po Jen Yeung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023256823 PECOS PAC ID: 5890845796 Enrollment ID: I20090616000294 |
| Provider Name | David M Renfrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487762571 PECOS PAC ID: 2163528605 Enrollment ID: I20090716000460 |
| Provider Name | John F Dolena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619195070 PECOS PAC ID: 6507910312 Enrollment ID: I20090813000252 |
| Provider Name | Olaniyi I Oluleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275563140 PECOS PAC ID: 9133266372 Enrollment ID: I20091021000264 |
| Provider Name | Hemant H Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508083361 PECOS PAC ID: 8325186349 Enrollment ID: I20091112000184 |
| Provider Name | Jose L Montaner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174585129 PECOS PAC ID: 3971644030 Enrollment ID: I20100112000086 |
| Provider Name | Thomas Foley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174789648 PECOS PAC ID: 5092857441 Enrollment ID: I20100122000286 |
| Provider Name | Franklin D Deguzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720014681 PECOS PAC ID: 8224171772 Enrollment ID: I20100205000077 |
| Provider Name | Ronica A Montagna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740245042 PECOS PAC ID: 0143355305 Enrollment ID: I20100315000055 |
| Provider Name | Thomas L Fenstermacher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164453627 PECOS PAC ID: 4486691946 Enrollment ID: I20101007000827 |
| Provider Name | Karla M Campanella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679772909 PECOS PAC ID: 0042403271 Enrollment ID: I20101020001231 |
| Provider Name | Tony L Byler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154326361 PECOS PAC ID: 4981599347 Enrollment ID: I20101105000088 |
| Provider Name | Charles A Marrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770645830 PECOS PAC ID: 5698960649 Enrollment ID: I20101116000659 |
| Provider Name | Jeffrey A Okamoto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336167444 PECOS PAC ID: 0244426468 Enrollment ID: I20101130000151 |
| Provider Name | Karen D Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295762003 PECOS PAC ID: 6305032525 Enrollment ID: I20101130000193 |
| Provider Name | Nhien D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992801260 PECOS PAC ID: 3678760949 Enrollment ID: I20101213000531 |
| Provider Name | Saiqa Mushtaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215198536 PECOS PAC ID: 0840488433 Enrollment ID: I20101227000069 |
| Provider Name | Benjamin L Keener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477737633 PECOS PAC ID: 4789869884 Enrollment ID: I20110505000536 |
| Provider Name | Sarah B Mattern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831332584 PECOS PAC ID: 8325225477 Enrollment ID: I20110527000218 |
| Provider Name | Dele Omije |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568607471 PECOS PAC ID: 5597934166 Enrollment ID: I20111031000205 |
| Provider Name | Mary Jo Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669756516 PECOS PAC ID: 0547434169 Enrollment ID: I20111117000060 |
| Provider Name | Anna E Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053614339 PECOS PAC ID: 0547435505 Enrollment ID: I20111202000715 |
| Provider Name | Shaun E Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528266277 PECOS PAC ID: 6002081437 Enrollment ID: I20111213000380 |
| Provider Name | Anne D Lavin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487833968 PECOS PAC ID: 7214197870 Enrollment ID: I20120320000325 |
| Provider Name | Kristine M Eves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326307703 PECOS PAC ID: 0143483248 Enrollment ID: I20120530000518 |
| Provider Name | Umar Khayyam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003076548 PECOS PAC ID: 5395993901 Enrollment ID: I20120924000193 |
| Provider Name | Cynthia T Fonder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548554884 PECOS PAC ID: 8022289453 Enrollment ID: I20121029000077 |
| Provider Name | Gayle A Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629349568 PECOS PAC ID: 9931367075 Enrollment ID: I20130213000223 |
| Provider Name | Dana Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730337866 PECOS PAC ID: 1951540327 Enrollment ID: I20130614000278 |
| Provider Name | Nicholas V Martino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780635805 PECOS PAC ID: 1658512884 Enrollment ID: I20130730000712 |
| Provider Name | Darcy A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750539581 PECOS PAC ID: 0547404469 Enrollment ID: I20130916000528 |
| Provider Name | Kelly S Hammarberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326362047 PECOS PAC ID: 9234364274 Enrollment ID: I20131030000143 |
| Provider Name | Oyindamola Omije |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386806636 PECOS PAC ID: 3870729072 Enrollment ID: I20131118001046 |
| Provider Name | Nidhi Garg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811153190 PECOS PAC ID: 8224268982 Enrollment ID: I20140226000732 |
| Provider Name | Heidi L Kohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043442551 PECOS PAC ID: 0345471959 Enrollment ID: I20140325000907 |
| Provider Name | Meryl R Gibbel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700150489 PECOS PAC ID: 0042430589 Enrollment ID: I20141003000658 |
| Provider Name | Carol A Sonnen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750335840 PECOS PAC ID: 8527289768 Enrollment ID: I20141031001253 |
| Provider Name | Kimberly Sue Ford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043295660 PECOS PAC ID: 2668445180 Enrollment ID: I20150417000817 |
| Provider Name | Jaime M Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871727982 PECOS PAC ID: 1355669672 Enrollment ID: I20150417000978 |
| Provider Name | Attiya Kidwai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508158130 PECOS PAC ID: 9436464989 Enrollment ID: I20150813010042 |
| Provider Name | Albert T Fombu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417229535 PECOS PAC ID: 9335454180 Enrollment ID: I20150824000241 |
| Provider Name | April H Mandeville Palm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861702201 PECOS PAC ID: 9335455187 Enrollment ID: I20150825004147 |
| Provider Name | Alyesha N Olshan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821406422 PECOS PAC ID: 5698083152 Enrollment ID: I20151001002987 |
| Provider Name | Adham Nabil Malaty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174818587 PECOS PAC ID: 6002039351 Enrollment ID: I20151012000272 |
| Provider Name | Alina M Glazunova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013384718 PECOS PAC ID: 1456660943 Enrollment ID: I20151023001066 |
| Provider Name | Christopher L Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386816080 PECOS PAC ID: 2769792449 Enrollment ID: I20151109002108 |
| Provider Name | Samer Al-saadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760674774 PECOS PAC ID: 7012188857 Enrollment ID: I20151216002581 |
| Provider Name | Ana L Filippo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114241080 PECOS PAC ID: 5991008591 Enrollment ID: I20160114000813 |
| Provider Name | Fahad Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053622969 PECOS PAC ID: 8628396942 Enrollment ID: I20160208001247 |
| Provider Name | Jennifer A Hailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861848012 PECOS PAC ID: 7315231818 Enrollment ID: I20160805001534 |
| Provider Name | Amy L Stahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922341262 PECOS PAC ID: 1456646231 Enrollment ID: I20160817002941 |
| Provider Name | Johnny E Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336550508 PECOS PAC ID: 8628290145 Enrollment ID: I20160831002088 |
| Provider Name | Christine Plasic Van Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801157169 PECOS PAC ID: 3870719404 Enrollment ID: I20161129000994 |
| Provider Name | Candida R Madrigal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366895450 PECOS PAC ID: 9335423524 Enrollment ID: I20170308000278 |
| Provider Name | Samir A Qasim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457694895 PECOS PAC ID: 3577838804 Enrollment ID: I20171012000451 |
| Provider Name | John P Shand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043556798 PECOS PAC ID: 3971808544 Enrollment ID: I20171018002215 |
| Provider Name | Kimberly A Lovelock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164932083 PECOS PAC ID: 6002173937 Enrollment ID: I20171201001757 |
| Provider Name | Nathaniel R Rhoad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922518216 PECOS PAC ID: 8921365586 Enrollment ID: I20171206002973 |
| Provider Name | Kirsten E Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871011668 PECOS PAC ID: 0941569644 Enrollment ID: I20180125000225 |
| Provider Name | Amanda A Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518485200 PECOS PAC ID: 2961762059 Enrollment ID: I20180209002498 |
| Provider Name | Julia M Krauss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427571108 PECOS PAC ID: 2062773328 Enrollment ID: I20180228003053 |
| Provider Name | Kelsey A Mccreight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386037430 PECOS PAC ID: 2769744937 Enrollment ID: I20180328000718 |
| Provider Name | Courtney M Moran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831395235 PECOS PAC ID: 1456475466 Enrollment ID: I20180425000092 |
| Provider Name | Brian C Hackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396100079 PECOS PAC ID: 7012271505 Enrollment ID: I20180509001725 |
| Provider Name | Ashlee J Pohl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881043149 PECOS PAC ID: 9537423025 Enrollment ID: I20180509001901 |
| Provider Name | Brittany D Caro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194259051 PECOS PAC ID: 0244583888 Enrollment ID: I20181029000269 |
| Provider Name | Elise Arters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235611195 PECOS PAC ID: 2769736289 Enrollment ID: I20181119001998 |
| Provider Name | Lori J Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487060836 PECOS PAC ID: 1557605847 Enrollment ID: I20181127001543 |
| Provider Name | Gwendolyn K Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902245905 PECOS PAC ID: 2567784952 Enrollment ID: I20181212001921 |
| Provider Name | Gillian D Grannum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407292162 PECOS PAC ID: 1355686437 Enrollment ID: I20181218001127 |
| Provider Name | Theresa N Adigwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881164358 PECOS PAC ID: 1759621824 Enrollment ID: I20190327002855 |
| Provider Name | Jessica L Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790115491 PECOS PAC ID: 7012259930 Enrollment ID: I20190425000107 |
| Provider Name | Joyce L Lukima |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841645074 PECOS PAC ID: 8022350362 Enrollment ID: I20190507000759 |
| Provider Name | Lindsay Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083000806 PECOS PAC ID: 8224332564 Enrollment ID: I20190620001946 |
| Provider Name | Chinenyenwa Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20191031000936 |
| Provider Name | Daniel D Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043737208 PECOS PAC ID: 6901239227 Enrollment ID: I20191127000760 |
| Provider Name | Shannon A Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386114056 PECOS PAC ID: 2466886429 Enrollment ID: I20191227000687 |
| Provider Name | Muhammad S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518128008 PECOS PAC ID: 9032545249 Enrollment ID: I20200206002787 |
| Provider Name | Evelyn Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154950152 PECOS PAC ID: 3577984335 Enrollment ID: I20200603000099 |
| Provider Name | Catherine Hewlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336769348 PECOS PAC ID: 9133545338 Enrollment ID: I20200819000274 |
| Provider Name | James L Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530504 PECOS PAC ID: 9931527645 Enrollment ID: I20200911002469 |
| Provider Name | Rhonda Bradley Slinghoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053924068 PECOS PAC ID: 9234558339 Enrollment ID: I20200923000376 |
| Provider Name | Heather M Hankins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669872628 PECOS PAC ID: 8628497567 Enrollment ID: I20200928000555 |
| Provider Name | Rebecca Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528582673 PECOS PAC ID: 2860812583 Enrollment ID: I20201020000029 |
| Provider Name | Kari Hoffmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114327970 PECOS PAC ID: 4183044779 Enrollment ID: I20201021000033 |
| Provider Name | Julia F Wauchope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679170450 PECOS PAC ID: 2567874712 Enrollment ID: I20201214000822 |
| Provider Name | Emily Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316532112 PECOS PAC ID: 6608275078 Enrollment ID: I20210604002392 |
| Provider Name | Benjamin D Armon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801315114 PECOS PAC ID: 5890198543 Enrollment ID: I20210720000094 |
| Provider Name | Lisa Green Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912921966 PECOS PAC ID: 3072603265 Enrollment ID: I20210928000380 |
| Provider Name | Lydia B Hackenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538513528 PECOS PAC ID: 3678963022 Enrollment ID: I20211130000042 |
| Provider Name | Kathleen Elizabeth Dissler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912663741 PECOS PAC ID: 6204227622 Enrollment ID: I20211220000666 |
| Provider Name | Hana Longenecker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407404874 PECOS PAC ID: 3375938913 Enrollment ID: I20220318000475 |
| Provider Name | Vienna Yoffee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790326155 PECOS PAC ID: 2567849805 Enrollment ID: I20220506001273 |
| Provider Name | Christina Blouir Downing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285173849 PECOS PAC ID: 8628497112 Enrollment ID: I20220908000019 |
| Provider Name | Rita Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538882816 PECOS PAC ID: 9234515743 Enrollment ID: I20221006003452 |
| Provider Name | Lindsay Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477271807 PECOS PAC ID: 0244600773 Enrollment ID: I20221228000831 |
| Provider Name | Laura Zell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629634134 PECOS PAC ID: 7012387483 Enrollment ID: I20221229000112 |
| Provider Name | Kenneth Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205844669 PECOS PAC ID: 2668375411 Enrollment ID: I20230112001696 |
| Provider Name | Chloe L Yeung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760914774 PECOS PAC ID: 7517208077 Enrollment ID: I20230125002175 |
| Provider Name | Mohammad Salim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447786421 PECOS PAC ID: 3577820190 Enrollment ID: I20230306001723 |
| Provider Name | Mark Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962684829 PECOS PAC ID: 8022482538 Enrollment ID: I20230324000693 |
| Provider Name | Arya Soman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801024104 PECOS PAC ID: 6507176377 Enrollment ID: I20230510002572 |
| Provider Name | Anna Umholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457944670 PECOS PAC ID: 3072975077 Enrollment ID: I20230808001375 |
| Provider Name | Levi Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558057125 PECOS PAC ID: 6305208836 Enrollment ID: I20230816001418 |
| Provider Name | Michael Bryan Zimberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568022457 PECOS PAC ID: 1456688290 Enrollment ID: I20230823000932 |
| Provider Name | Karen Friesen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255115432 PECOS PAC ID: 4981068129 Enrollment ID: I20230906004452 |
| Provider Name | Basant Nassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831548882 PECOS PAC ID: 1355766536 Enrollment ID: I20230915000200 |
| Provider Name | Emily Anne Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255902631 PECOS PAC ID: 6507211398 Enrollment ID: I20231014000021 |
| Provider Name | Jorian Ginnetto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548040488 PECOS PAC ID: 9739539511 Enrollment ID: I20231219003636 |
| Provider Name | Amber Butzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942061809 PECOS PAC ID: 8325481302 Enrollment ID: I20240206004629 |
| Provider Name | Jamie Devoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215571401 PECOS PAC ID: 8022467885 Enrollment ID: I20240214002187 |
| Provider Name | Kelsey Daubert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831785120 PECOS PAC ID: 7517316383 Enrollment ID: I20240214003083 |
| Provider Name | Amie Michelle Jumper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861801516 PECOS PAC ID: 8022467372 Enrollment ID: I20240215000237 |
| Provider Name | Yeardley Landis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366188674 PECOS PAC ID: 6709236029 Enrollment ID: I20240220000021 |
| Provider Name | Angela Sollenberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316684574 PECOS PAC ID: 5092164236 Enrollment ID: I20240226003208 |
| Provider Name | Timothy Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992310643 PECOS PAC ID: 8729437488 Enrollment ID: I20240304001686 |
| Provider Name | Cindy Mejia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487229159 PECOS PAC ID: 8628477155 Enrollment ID: I20240315003499 |
| Provider Name | Frank Dibella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841586690 PECOS PAC ID: 8123465853 Enrollment ID: I20240318001876 |
| Provider Name | Nathan Stoltzfus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972883221 PECOS PAC ID: 8628427366 Enrollment ID: I20240401002378 |
| Provider Name | Shawne Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952360232 PECOS PAC ID: 6800245549 Enrollment ID: I20240403003242 |
| Provider Name | Dale Brickley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225246937 PECOS PAC ID: 6901245679 Enrollment ID: I20240415000280 |
| Provider Name | Frances Mcnamara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851937098 PECOS PAC ID: 7810346665 Enrollment ID: I20240417000161 |
| Provider Name | Jane Fanslow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376696344 PECOS PAC ID: 5092164731 Enrollment ID: I20240417000297 |
| Provider Name | Christopher Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689966566 PECOS PAC ID: 0941659684 Enrollment ID: I20240424003293 |
| Provider Name | Yasir Habeeb Mohamed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629449889 PECOS PAC ID: 6204285877 Enrollment ID: I20240425000091 |
| Provider Name | Elenore Sowal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821282963 PECOS PAC ID: 3072953868 Enrollment ID: I20240426001200 |
| Provider Name | Silvija Seamon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295099349 PECOS PAC ID: 2365891009 Enrollment ID: I20240430002429 |
| Provider Name | Judith Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346421658 PECOS PAC ID: 7214385087 Enrollment ID: I20240501000880 |
| Provider Name | Janice Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669658134 PECOS PAC ID: 8921448358 Enrollment ID: I20240501003464 |
Pennsylvania Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 | |
T. W. Ponessa And Associates Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E. Evergreen Road, Lebanon, PA 17042 Phone: 717-560-7917 Fax: 717-560-6452 | |
Pennsylvania Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 | |
Keystone Service Systems Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Cumberland St, Lebanon, PA 17042 Phone: 717-740-2949 | |
Pennsylvania Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-273-1710 Fax: 717-273-1416 | |
Whole Life Counseling & Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 160 S 22nd St, Lebanon, PA 17042 Phone: 717-926-6760 |