| Cmc Of Pa Pc | |
|
721 Dresher Rd Ste 1100 Horsham PA 19044-2216 | |
| (215) 254-6000 | |
| (215) 754-1705 |
| Full Name | Cmc Of Pa Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 721 Dresher Rd Ste 1100, Horsham, Pennsylvania |
| Authorized Official Name and Position | Mandie Matthews (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 6107639413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Of Pa Pc 715 Twining Rd Ste 120 Dresher PA 19025-1832 Ph: (215) 254-6000 | Cmc Of Pa Pc 721 Dresher Rd Ste 1100 Horsham PA 19044-2216 Ph: (215) 254-6000 |
| NPI Number | 1083341341 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 7113393497 |
|---|---|
| Medicare Enrollment ID | O20221012002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083341341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Donna L Lauck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174665442 PECOS PAC ID: 0244136141 Enrollment ID: I20031211000037 |
| Provider Name | Kenneth Michael Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457319550 PECOS PAC ID: 3870587942 Enrollment ID: I20040412001245 |
| Provider Name | Guillermo Roberto Otero-perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962441725 PECOS PAC ID: 7911903976 Enrollment ID: I20061013000472 |
| Provider Name | Roberto Jorge Ortiz-aguayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205031275 PECOS PAC ID: 7315030897 Enrollment ID: I20070830000033 |
| Provider Name | M Samson Seplow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477686608 PECOS PAC ID: 0446323125 Enrollment ID: I20080715000284 |
| Provider Name | Robert F Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609001668 PECOS PAC ID: 1355492265 Enrollment ID: I20090706000082 |
| Provider Name | Sudha Jairaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902980857 PECOS PAC ID: 8123210176 Enrollment ID: I20101008000187 |
| Provider Name | Richard L Yudell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003990797 PECOS PAC ID: 0042402836 Enrollment ID: I20101012000842 |
| Provider Name | Donna L Toro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457642837 PECOS PAC ID: 3779751540 Enrollment ID: I20110721000521 |
| Provider Name | Frances Aledo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912110859 PECOS PAC ID: 1557400058 Enrollment ID: I20130109000141 |
| Provider Name | Armand G Diyenno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811318447 PECOS PAC ID: 2567680812 Enrollment ID: I20140827002533 |
| Provider Name | Agata H Kaminska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366544967 PECOS PAC ID: 5597782474 Enrollment ID: I20160215001859 |
| Provider Name | Corina N Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255826731 PECOS PAC ID: 3779834502 Enrollment ID: I20180918003068 |
| Provider Name | Sharon Cave-adens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093089567 PECOS PAC ID: 8426302225 Enrollment ID: I20181114001729 |
| Provider Name | Kevin Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023096054 PECOS PAC ID: 4688804289 Enrollment ID: I20190325001017 |
| Provider Name | Alexandria L Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962773499 PECOS PAC ID: 3779917802 Enrollment ID: I20191226001557 |
| Provider Name | Eve Bosnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417938531 PECOS PAC ID: 4880013812 Enrollment ID: I20200924002226 |
| Provider Name | Monica Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952060238 PECOS PAC ID: 9931591575 Enrollment ID: I20220111002939 |
| Provider Name | Hannah Baumstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639837867 PECOS PAC ID: 0143615401 Enrollment ID: I20220323001517 |
| Provider Name | Colin Tracey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295427706 PECOS PAC ID: 9537527841 Enrollment ID: I20230619001893 |
| Provider Name | Dawn Debrocco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750724027 PECOS PAC ID: 8527428903 Enrollment ID: I20230717002625 |
| Provider Name | Tarah M Killane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194587808 PECOS PAC ID: 7810330602 Enrollment ID: I20240208002574 |
| Provider Name | Michele Lulewicz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518740547 PECOS PAC ID: 7810426723 Enrollment ID: I20250122001680 |
| Provider Name | Alexandra Paige Brommer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992214365 PECOS PAC ID: 7113456864 Enrollment ID: I20250124000455 |
| Provider Name | Danielle Giuliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497933360 PECOS PAC ID: 0042740268 Enrollment ID: I20250204000073 |
| Provider Name | Dawn Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649950684 PECOS PAC ID: 9032649090 Enrollment ID: I20250206001897 |
Aba Autism Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Welsh Rd, Horsham, PA 19044 Phone: 844-422-2288 | |
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Dr. Tina Gonzales, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Welsh Rd Ste 100, Horsham, PA 19044 Phone: 215-584-0621 Fax: 267-818-7048 | |
Merakey Montgomery County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W Moreland Ave, Horsham, PA 19044 Phone: 215-836-3131 Fax: 215-273-5975 | |
John F Gregory Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mountain Ash Lane, Horsham, PA 19044 Phone: 215-808-3989 Fax: 215-657-4324 | |
Ayni Heart Fire Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Dresher Road, Horsham, PA 19044 Phone: 512-277-9015 |