| Springfield Psychological Pc | |
|
1489 Baltimore Pike Bldg. 200, Suite 250 Springfield PA 19064-3958 | |
| (610) 544-2110 | |
| (610) 604-9510 |
| Full Name | Springfield Psychological Pc |
|---|---|
| Speciality | Counselor |
| Location | 1489 Baltimore Pike, Springfield, Pennsylvania |
| Authorized Official Name and Position | Elisabeth Pesce (SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Psychological Pc 1489 Baltimore Pike Bldg. 200, Suite 250 Springfield PA 19064-3958 Ph: (610) 544-2110 | Springfield Psychological Pc 1489 Baltimore Pike Bldg. 200, Suite 250 Springfield PA 19064-3958 Ph: (610) 544-2110 |
| NPI Number | 1295705317 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 1456322973 |
|---|---|
| Medicare Enrollment ID | O20040805001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295705317 | NPI | - | NPPES |
| 0261150000 | Other | PW | MAGELLAN |
| 202603000 | Other | PW | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PS003470-L (Pennsylvania) | Primary |
| Provider Name | Grant Strine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316969652 PECOS PAC ID: 1850387432 Enrollment ID: I20040421000095 |
| Provider Name | Stephanie J Wingate-gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881890762 PECOS PAC ID: 3678550944 Enrollment ID: I20040706000120 |
| Provider Name | Marina Jean Cooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982683207 PECOS PAC ID: 6406823160 Enrollment ID: I20040913000611 |
| Provider Name | James A Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134162415 PECOS PAC ID: 2567428584 Enrollment ID: I20041201001021 |
| Provider Name | Joel B Capucao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972639334 PECOS PAC ID: 8224932116 Enrollment ID: I20050201000275 |
| Provider Name | Esther Kamisar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750401113 PECOS PAC ID: 2668426503 Enrollment ID: I20050303000680 |
| Provider Name | Nikole J Heilmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073528717 PECOS PAC ID: 7719933076 Enrollment ID: I20050330000083 |
| Provider Name | Josephine Agdamag Pobre-so |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679580310 PECOS PAC ID: 5092755827 Enrollment ID: I20050511000023 |
| Provider Name | Richard L Jaffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962448167 PECOS PAC ID: 2961446182 Enrollment ID: I20050617000336 |
| Provider Name | Jacqueline M Salmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093876229 PECOS PAC ID: 5395777338 Enrollment ID: I20050909000837 |
| Provider Name | George V Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134280688 PECOS PAC ID: 5395778393 Enrollment ID: I20050912000261 |
| Provider Name | Adam Guss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922069442 PECOS PAC ID: 4284668252 Enrollment ID: I20050920000998 |
| Provider Name | Robert P Petruzzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417926197 PECOS PAC ID: 0143250597 Enrollment ID: I20051003000130 |
| Provider Name | Fred B Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023072303 PECOS PAC ID: 5799710349 Enrollment ID: I20051003000170 |
| Provider Name | Marykathryn Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740264092 PECOS PAC ID: 5395749618 Enrollment ID: I20060829000212 |
| Provider Name | Serena Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760550305 PECOS PAC ID: 0547261265 Enrollment ID: I20070124000204 |
| Provider Name | Peggy C Backal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093818080 PECOS PAC ID: 5092717330 Enrollment ID: I20070215000278 |
| Provider Name | Dana J Olive |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083766679 PECOS PAC ID: 2062519630 Enrollment ID: I20070515000513 |
| Provider Name | Kami Rochelle Marchese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104020650 PECOS PAC ID: 3476653494 Enrollment ID: I20070705000172 |
| Provider Name | Christina M Vocaturo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649281999 PECOS PAC ID: 6305947474 Enrollment ID: I20070720000007 |
| Provider Name | Stephanie Mcmullan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023210697 PECOS PAC ID: 9931200664 Enrollment ID: I20070725000613 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295926194 PECOS PAC ID: 2163516469 Enrollment ID: I20070918000143 |
| Provider Name | Mohamed R Dattu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821028119 PECOS PAC ID: 7618066101 Enrollment ID: I20071207000149 |
| Provider Name | Elizabeth M Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518167501 PECOS PAC ID: 9335225127 Enrollment ID: I20080319000240 |
| Provider Name | Karen G Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508997180 PECOS PAC ID: 8022194604 Enrollment ID: I20080324000229 |
| Provider Name | Sean F Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659494540 PECOS PAC ID: 5799854253 Enrollment ID: I20080523000242 |
| Provider Name | Ushama Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154447738 PECOS PAC ID: 5597830364 Enrollment ID: I20080814000079 |
| Provider Name | Sachidanand D Kamtam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649318494 PECOS PAC ID: 3274609995 Enrollment ID: I20080904000059 |
| Provider Name | Michael Buxbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023084159 PECOS PAC ID: 5991864241 Enrollment ID: I20081101000029 |
| Provider Name | Mindy B Rushbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043357817 PECOS PAC ID: 0244394716 Enrollment ID: I20090128000079 |
| Provider Name | Marcy A Shoemaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619919768 PECOS PAC ID: 1850442070 Enrollment ID: I20090630000205 |
| Provider Name | Sharon Meehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972780542 PECOS PAC ID: 5092867804 Enrollment ID: I20090708000603 |
| Provider Name | Beverly P White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952540221 PECOS PAC ID: 8527112366 Enrollment ID: I20090813000553 |
| Provider Name | Nathaniel S Prentice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013158708 PECOS PAC ID: 8628124211 Enrollment ID: I20090923000538 |
| Provider Name | Alexander M Kanevsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780750299 PECOS PAC ID: 4587672803 Enrollment ID: I20091230000589 |
| Provider Name | Susanne Walsh Felizzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316003049 PECOS PAC ID: 6901091131 Enrollment ID: I20101112000579 |
| Provider Name | Heather Callaghan-walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538253547 PECOS PAC ID: 8820271950 Enrollment ID: I20110325000749 |
| Provider Name | Kyle B Holsinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457445470 PECOS PAC ID: 9537218243 Enrollment ID: I20110401000561 |
| Provider Name | Ann E Steel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912009713 PECOS PAC ID: 4981880382 Enrollment ID: I20110519000652 |
| Provider Name | Marjory Levitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750361937 PECOS PAC ID: 2668658303 Enrollment ID: I20110523000121 |
| Provider Name | Jennifer L Bramson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972510337 PECOS PAC ID: 8820011083 Enrollment ID: I20110525000392 |
| Provider Name | Katherine M Napalinga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336339746 PECOS PAC ID: 9436310745 Enrollment ID: I20120413000203 |
| Provider Name | Judith Lawrence Outten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174546592 PECOS PAC ID: 2466427786 Enrollment ID: I20121029000220 |
| Provider Name | Bettina Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952311987 PECOS PAC ID: 3678583655 Enrollment ID: I20121113000095 |
| Provider Name | Stefanie P Rosinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417100017 PECOS PAC ID: 8628220969 Enrollment ID: I20121212000338 |
| Provider Name | Adina Sandman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639403116 PECOS PAC ID: 5092968404 Enrollment ID: I20130116000132 |
| Provider Name | Kenrick W Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922254945 PECOS PAC ID: 0941453229 Enrollment ID: I20130117000294 |
| Provider Name | Sara K Salib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588813091 PECOS PAC ID: 1850544008 Enrollment ID: I20130122000035 |
| Provider Name | Christina M Samyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467523845 PECOS PAC ID: 1557503711 Enrollment ID: I20130819000095 |
| Provider Name | Lysette Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336469642 PECOS PAC ID: 5890920698 Enrollment ID: I20131104000584 |
| Provider Name | Catherine James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043645849 PECOS PAC ID: 6204064579 Enrollment ID: I20140113000696 |
| Provider Name | Matthew M Winger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184741209 PECOS PAC ID: 0941432652 Enrollment ID: I20140411000958 |
| Provider Name | Lucille Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053527192 PECOS PAC ID: 2860615903 Enrollment ID: I20140519001296 |
| Provider Name | Brad Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053484410 PECOS PAC ID: 2163647512 Enrollment ID: I20140627001325 |
| Provider Name | Michele L Reich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023390960 PECOS PAC ID: 4486870243 Enrollment ID: I20140731000412 |
| Provider Name | Jacqueline Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093837817 PECOS PAC ID: 7719109867 Enrollment ID: I20141105002074 |
| Provider Name | Joanne E Morth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790189124 PECOS PAC ID: 1658693437 Enrollment ID: I20141205000440 |
| Provider Name | Jennifer D Maust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497903579 PECOS PAC ID: 5193966075 Enrollment ID: I20150213000284 |
| Provider Name | Robert S Katof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659355147 PECOS PAC ID: 6406174044 Enrollment ID: I20150413000212 |
| Provider Name | Reginal G Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568422897 PECOS PAC ID: 5092036277 Enrollment ID: I20150601001721 |
| Provider Name | Dana Lehman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790948560 PECOS PAC ID: 6709199151 Enrollment ID: I20150715000094 |
| Provider Name | Valerie Vitale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598195851 PECOS PAC ID: 2264741677 Enrollment ID: I20151027000654 |
| Provider Name | Lacy R Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508166281 PECOS PAC ID: 5799085288 Enrollment ID: I20151207000877 |
| Provider Name | Narpinder Kaur Malhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659672574 PECOS PAC ID: 8921239492 Enrollment ID: I20151228000056 |
| Provider Name | Scott A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346259827 PECOS PAC ID: 6507167178 Enrollment ID: I20151228000461 |
| Provider Name | Rachele Lemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376645242 PECOS PAC ID: 2769785062 Enrollment ID: I20160120001861 |
| Provider Name | Alba M Hidalgo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962879429 PECOS PAC ID: 5294031308 Enrollment ID: I20160315001978 |
| Provider Name | Jean Fatima Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811164510 PECOS PAC ID: 1850523473 Enrollment ID: I20160505000316 |
| Provider Name | Thomas S Wind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508982265 PECOS PAC ID: 9032400304 Enrollment ID: I20160616000223 |
| Provider Name | Jillan Sackett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134339732 PECOS PAC ID: 7911298104 Enrollment ID: I20160617001562 |
| Provider Name | Alex Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578883179 PECOS PAC ID: 8325333024 Enrollment ID: I20160819000790 |
| Provider Name | Stephen A Russo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902041825 PECOS PAC ID: 7810046893 Enrollment ID: I20160930002072 |
| Provider Name | Colleen M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922556372 PECOS PAC ID: 0547558991 Enrollment ID: I20161018001031 |
| Provider Name | Alison A Ercole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225427867 PECOS PAC ID: 3779871074 Enrollment ID: I20161019000125 |
| Provider Name | Zachary Maichuk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497110217 PECOS PAC ID: 0547548836 Enrollment ID: I20161020000572 |
| Provider Name | Charles C Stanfa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861832156 PECOS PAC ID: 3072891258 Enrollment ID: I20161021001118 |
| Provider Name | Catherine M Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902237142 PECOS PAC ID: 9931480761 Enrollment ID: I20170110000570 |
| Provider Name | Jennifer Costello-siri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053557298 PECOS PAC ID: 2365671393 Enrollment ID: I20170125002339 |
| Provider Name | Wendy Lam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992240436 PECOS PAC ID: 9234413105 Enrollment ID: I20170222000269 |
| Provider Name | Siobhann M Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134291289 PECOS PAC ID: 6507086451 Enrollment ID: I20170530000163 |
| Provider Name | Christine Bishop-edkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538543301 PECOS PAC ID: 6002189644 Enrollment ID: I20170905000170 |
| Provider Name | Carlene Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730269283 PECOS PAC ID: 4486927753 Enrollment ID: I20170907003167 |
| Provider Name | Stephanie C Maier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730627753 PECOS PAC ID: 1850657255 Enrollment ID: I20171116002583 |
| Provider Name | Teresa L Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912120510 PECOS PAC ID: 2860750338 Enrollment ID: I20171212000222 |
| Provider Name | Noelle J Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366747990 PECOS PAC ID: 9335409911 Enrollment ID: I20180130000297 |
| Provider Name | Laura Russo Innamorato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003900044 PECOS PAC ID: 2668655796 Enrollment ID: I20180226000747 |
| Provider Name | Nikita K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316246556 PECOS PAC ID: 8527312354 Enrollment ID: I20181114003034 |
| Provider Name | John L Durland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407322365 PECOS PAC ID: 5890039010 Enrollment ID: I20181129000152 |
| Provider Name | Jessie L Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326513565 PECOS PAC ID: 5890039424 Enrollment ID: I20181207000939 |
| Provider Name | Deborah B Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790253391 PECOS PAC ID: 3870839988 Enrollment ID: I20190110002395 |
| Provider Name | Varsha Godambe-jain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023581550 PECOS PAC ID: 2860730488 Enrollment ID: I20190206002135 |
| Provider Name | Ashlyn Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619432309 PECOS PAC ID: 6901146414 Enrollment ID: I20190320001506 |
| Provider Name | Brianna Bernardo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881177343 PECOS PAC ID: 8325389166 Enrollment ID: I20190404001791 |
| Provider Name | Amy B Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780167940 PECOS PAC ID: 5294076659 Enrollment ID: I20190411001721 |
| Provider Name | Jane Zakrzewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902364615 PECOS PAC ID: 5092057307 Enrollment ID: I20190506002403 |
| Provider Name | Christopher Famiglietti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801279039 PECOS PAC ID: 7911230438 Enrollment ID: I20190614000652 |
| Provider Name | Holly L Grishkat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982826269 PECOS PAC ID: 9931439866 Enrollment ID: I20190919001107 |
| Provider Name | Adam Hofbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578012266 PECOS PAC ID: 0941530315 Enrollment ID: I20190927000504 |
| Provider Name | Tanya Vishnevsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932511805 PECOS PAC ID: 2365667169 Enrollment ID: I20191018000992 |
| Provider Name | Melissa Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962743765 PECOS PAC ID: 2163854811 Enrollment ID: I20191118002252 |
| Provider Name | Douglas K Kawka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477923506 PECOS PAC ID: 9436582921 Enrollment ID: I20191216000449 |
| Provider Name | Nicole L Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104389311 PECOS PAC ID: 0749614501 Enrollment ID: I20200102002171 |
| Provider Name | Karen Baack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417590456 PECOS PAC ID: 8325473713 Enrollment ID: I20200113001229 |
| Provider Name | Lee R Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194375204 PECOS PAC ID: 3678909389 Enrollment ID: I20200128002258 |
| Provider Name | Michael P Caiazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740528694 PECOS PAC ID: 8921436106 Enrollment ID: I20200323000550 |
| Provider Name | Haley E Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073146999 PECOS PAC ID: 1254761976 Enrollment ID: I20200421002139 |
| Provider Name | Julie Furst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548655327 PECOS PAC ID: 4981952553 Enrollment ID: I20200430000315 |
| Provider Name | Elizabeth Eunjin Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619528833 PECOS PAC ID: 0941631006 Enrollment ID: I20200506000708 |
| Provider Name | Elizabeth A Merryfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023632601 PECOS PAC ID: 9537581491 Enrollment ID: I20200623000041 |
| Provider Name | Beau Charles Brendley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447537766 PECOS PAC ID: 8325460181 Enrollment ID: I20200624000861 |
| Provider Name | Kathryn Souder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073144325 PECOS PAC ID: 6103256243 Enrollment ID: I20200804003787 |
| Provider Name | Laurie Beson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588025688 PECOS PAC ID: 7214353820 Enrollment ID: I20200813001262 |
| Provider Name | Thomas Koste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992324016 PECOS PAC ID: 9234556226 Enrollment ID: I20200908000573 |
| Provider Name | Eve Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477786259 PECOS PAC ID: 5294153276 Enrollment ID: I20200909000468 |
| Provider Name | Eve Bosnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417938531 PECOS PAC ID: 4880013812 Enrollment ID: I20200924002226 |
| Provider Name | Matthew Aaron Brigle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952950800 PECOS PAC ID: 9032534086 Enrollment ID: I20201014000062 |
| Provider Name | Martina Majella Sobolesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669099719 PECOS PAC ID: 5395158935 Enrollment ID: I20201229000064 |
| Provider Name | Wendy Landrian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891163192 PECOS PAC ID: 3173937281 Enrollment ID: I20210202000759 |
| Provider Name | Daniel Scullington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215468962 PECOS PAC ID: 5294140521 Enrollment ID: I20210219000941 |
| Provider Name | Andrea Stoecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417244187 PECOS PAC ID: 0547679417 Enrollment ID: I20210505000477 |
| Provider Name | Alicia Hurford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568038685 PECOS PAC ID: 4284034448 Enrollment ID: I20210610001172 |
| Provider Name | Yvonne Judge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164933446 PECOS PAC ID: 8628471844 Enrollment ID: I20210727000013 |
| Provider Name | Bryan Gottlieb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043881063 PECOS PAC ID: 1557766110 Enrollment ID: I20210819001070 |
| Provider Name | Teresa Mathew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730627951 PECOS PAC ID: 3375949399 Enrollment ID: I20210831000373 |
| Provider Name | Kathryn Ashin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427622497 PECOS PAC ID: 4385042282 Enrollment ID: I20211007000139 |
| Provider Name | Mary Schooff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841318201 PECOS PAC ID: 0547168155 Enrollment ID: I20211215002801 |
| Provider Name | Ginamarie Dattilo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497902829 PECOS PAC ID: 1355401530 Enrollment ID: I20220301001099 |
| Provider Name | Trisha Ruffalo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558900092 PECOS PAC ID: 1153702782 Enrollment ID: I20220713004259 |
| Provider Name | Jordan Watson Galligan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962136754 PECOS PAC ID: 7810372109 Enrollment ID: I20220922003314 |
| Provider Name | Tajshana Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912479502 PECOS PAC ID: 0244607869 Enrollment ID: I20221110000486 |
| Provider Name | Arlene Mary Lacombe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457914541 PECOS PAC ID: 4981072840 Enrollment ID: I20221125000501 |
| Provider Name | Brad Edward Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902956527 PECOS PAC ID: 6800267485 Enrollment ID: I20230118000738 |
| Provider Name | Carolyn Newton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073967659 PECOS PAC ID: 8820469224 Enrollment ID: I20230123001484 |
| Provider Name | Terry Lee Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215109285 PECOS PAC ID: 2961874557 Enrollment ID: I20230208000398 |
| Provider Name | Ellen Inverso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235841446 PECOS PAC ID: 2264804715 Enrollment ID: I20230208003184 |
| Provider Name | Thomas Patrick Fowkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083095533 PECOS PAC ID: 7719344654 Enrollment ID: I20230607002404 |
| Provider Name | Julie Matsen Devitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487157921 PECOS PAC ID: 1355730219 Enrollment ID: I20230704000167 |
| Provider Name | Jessica Berardinucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932836194 PECOS PAC ID: 8921468448 Enrollment ID: I20230717000014 |
| Provider Name | Maggie L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619605011 PECOS PAC ID: 2769843267 Enrollment ID: I20230801000040 |
| Provider Name | Jayna Alexandra Burleigh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851016216 PECOS PAC ID: 3577925486 Enrollment ID: I20230809002297 |
| Provider Name | Elizabeth S Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598998064 PECOS PAC ID: 8921460528 Enrollment ID: I20230814003563 |
| Provider Name | Sarah Rose Dunleavy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942623673 PECOS PAC ID: 5395108385 Enrollment ID: I20230823003300 |
| Provider Name | Patrick William Mcguffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154606283 PECOS PAC ID: 6709246333 Enrollment ID: I20230911001590 |
Optum Behavioral Care Of Connecticut, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1489 Baltimore Pike Ste 250, Springfield, PA 19064 Phone: 610-544-2110 | |
Merakey Delaware County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Stidman Dr, Springfield, PA 19064 Phone: 215-836-3131 Fax: 215-836-1802 | |
Quattrone Applied Behavior Analysis Consultation Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Garden Rd, Springfield, PA 19064 Phone: 610-357-2024 | |
Intercultural Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 E Leamy Ave, Springfield, PA 19064 Phone: 484-840-3643 | |
Moore Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 190 W Sproul Rd, Suite 101, Springfield, PA 19064 Phone: 610-585-0307 Fax: 610-534-4243 | |
Pamela J Ralph Md Pc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1489 Baltimore Pike, Building #300, Suite #300, Springfield, PA 19064 Phone: 484-472-7430 Fax: 484-472-7718 | |
Better Life Solutions, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Leamy Ave, Springfield, PA 19064 Phone: 610-328-2320 Fax: 610-757-4031 |