| Wesley Family Services | |
|
221 Penn Ave Wilkinsburg PA 15221-2118 | |
| (412) 342-2300 | |
| (412) 342-2298 |
| Full Name | Wesley Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 Penn Ave, Wilkinsburg, Pennsylvania |
| Authorized Official Name and Position | Emily J Pietrzak (VP OF FINANCE) |
| Authorized Official Contact | 4123422288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Family Services 221 Penn Ave Wilkinsburg PA 15221-2118 Ph: (412) 342-2300 | Wesley Family Services 221 Penn Ave Wilkinsburg PA 15221-2118 Ph: (412) 342-2300 |
| NPI Number | 1316450638 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Medicare PECOS PAC ID | 7517206246 |
|---|---|
| Medicare Enrollment ID | O20190225001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316450638 | NPI | - | NPPES |
| Provider Name | Suzanne E Vogel Scibilia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407468 PECOS PAC ID: 2961479431 Enrollment ID: I20040914000696 |
| Provider Name | Marjorie O Tavoularis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366529083 PECOS PAC ID: 3173523651 Enrollment ID: I20070106000105 |
| Provider Name | Manohar Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750350435 PECOS PAC ID: 5395835300 Enrollment ID: I20071214000037 |
| Provider Name | Lisa Q Jamnback |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578564555 PECOS PAC ID: 4981767092 Enrollment ID: I20090115000728 |
| Provider Name | Joann U Chmielewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376565879 PECOS PAC ID: 3476678095 Enrollment ID: I20100920000106 |
| Provider Name | Melinda Spyridaki - Dodd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427212422 PECOS PAC ID: 7416138938 Enrollment ID: I20120409000443 |
| Provider Name | Robert M Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912970559 PECOS PAC ID: 2668494196 Enrollment ID: I20120726000161 |
| Provider Name | Alan Molitor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134282452 PECOS PAC ID: 5294970695 Enrollment ID: I20130405000114 |
| Provider Name | Robert F. Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720229024 PECOS PAC ID: 1456537265 Enrollment ID: I20130619000425 |
| Provider Name | Gale A Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316204589 PECOS PAC ID: 6608198775 Enrollment ID: I20141126000600 |
| Provider Name | Sarah B Trozzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801275151 PECOS PAC ID: 0648588426 Enrollment ID: I20150928001826 |
| Provider Name | Cara M Yergen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164620845 PECOS PAC ID: 3577635960 Enrollment ID: I20180104000571 |
| Provider Name | Duke J Ruktanonchai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629181037 PECOS PAC ID: 7810994696 Enrollment ID: I20190910001014 |
| Provider Name | Jonathan C Simmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386286458 PECOS PAC ID: 8729414446 Enrollment ID: I20200128002501 |
| Provider Name | Christina M Mcclarren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093285157 PECOS PAC ID: 9537597687 Enrollment ID: I20200324000688 |
| Provider Name | Lawrence R Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942396098 PECOS PAC ID: 1759789373 Enrollment ID: I20211013000777 |
| Provider Name | Kristen M Sobkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619455771 PECOS PAC ID: 0547651416 Enrollment ID: I20220104000202 |
| Provider Name | Jason O Abusomwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083370266 PECOS PAC ID: 5496123945 Enrollment ID: I20221115001203 |
| Provider Name | Kaylee M Amend |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811619372 PECOS PAC ID: 3274902358 Enrollment ID: I20221212002686 |
| Provider Name | Patrick D Vincent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811384266 PECOS PAC ID: 3476911074 Enrollment ID: I20230614000130 |
| Provider Name | Ravneet Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578050183 PECOS PAC ID: 5698013340 Enrollment ID: I20230811000617 |
| Provider Name | Nadia Weidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568143931 PECOS PAC ID: 7719334010 Enrollment ID: I20231108000974 |
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