| Aaron Center, Inc. | |
|
116 Larch St Ste 300 Scranton PA 18509-2802 | |
| (570) 489-5561 | |
| (570) 489-5563 |
| Full Name | Aaron Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 116 Larch St Ste 300, Scranton, Pennsylvania |
| Authorized Official Name and Position | Katherine Yanick (VICE PRESIDENT) |
| Authorized Official Contact | 5704895561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Center, Inc. 116 Larch St Ste 300 Scranton PA 18509-2802 Ph: (570) 489-5561 | Aaron Center, Inc. 116 Larch St Ste 300 Scranton PA 18509-2802 Ph: (570) 489-5561 |
| NPI Number | 1386628691 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 4880691732 |
|---|---|
| Medicare Enrollment ID | O20061107000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386628691 | NPI | - | NPPES |
| TH1696094 | Other | PA | HIGHMARK |
| 0000000162726 | Other | PA | MED. PLUS |
| TH1668074 | Other | PA | HIGHMARK |
| 1011528880001 | Medicaid | PA |
| Provider Name | Michele R Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740473545 PECOS PAC ID: 0749373454 Enrollment ID: I20070911000226 |
| Provider Name | Antoinette Hamidian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417931601 PECOS PAC ID: 5496859993 Enrollment ID: I20071015000406 |
| Provider Name | Gina M Constantini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174674162 PECOS PAC ID: 8022106806 Enrollment ID: I20071112000474 |
| Provider Name | Olapeju Simoyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437351178 PECOS PAC ID: 8325285935 Enrollment ID: I20130517000468 |
| Provider Name | Eugene L Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720296858 PECOS PAC ID: 6901198308 Enrollment ID: I20160705001707 |
| Provider Name | Jennifer Fouse Manner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104459965 PECOS PAC ID: 6002231842 Enrollment ID: I20200810003634 |
| Provider Name | Kenisha Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821733304 PECOS PAC ID: 9638542822 Enrollment ID: I20230309001401 |
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