| Collaborative Care Of Abington | |
|
1369 Old York Rd Abington PA 19001-3411 | |
| (610) 697-9885 | |
| (215) 714-7395 |
| Full Name | Collaborative Care Of Abington |
|---|---|
| Speciality | Counselor |
| Location | 1369 Old York Rd, Abington, Pennsylvania |
| Authorized Official Name and Position | Sharon R Katz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2158067223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Care Of Abington Po Box 598 Abington PA 19001-0598 Ph: (610) 697-9885 | Collaborative Care Of Abington 1369 Old York Rd Abington PA 19001-3411 Ph: (610) 697-9885 |
| NPI Number | 1437215845 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 0749192805 |
|---|---|
| Medicare Enrollment ID | O20031105000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437215845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joseph Divincenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740201425 PECOS PAC ID: 3577475649 Enrollment ID: I20031105000710 |
| 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 | Takako Suzuki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427295500 PECOS PAC ID: 3476571993 Enrollment ID: I20051103000377 |
| Provider Name | Robert T Wenger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912007675 PECOS PAC ID: 8527073691 Enrollment ID: I20060210000009 |
| Provider Name | Jilda S Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740473792 PECOS PAC ID: 7911077656 Enrollment ID: I20080606000071 |
| 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 | Ernest Glazer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497838403 PECOS PAC ID: 2062549769 Enrollment ID: I20100429000394 |
| Provider Name | Elva M Degeorge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265760276 PECOS PAC ID: 3375672181 Enrollment ID: I20100603000284 |
| 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 | Karelis Sierra-cintron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215145008 PECOS PAC ID: 7810181138 Enrollment ID: I20101101000767 |
| Provider Name | Kathleen Ryan Kuntz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679887491 PECOS PAC ID: 1052595253 Enrollment ID: I20110413000319 |
| Provider Name | Ellyn Deguida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154645182 PECOS PAC ID: 9032393095 Enrollment ID: I20110415000314 |
| Provider Name | Sharon R. Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881756856 PECOS PAC ID: 7618889775 Enrollment ID: I20130913000496 |
| 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 | Donald Eugene Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881001550 PECOS PAC ID: 2466671490 Enrollment ID: I20140924000055 |
| 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 | Thomas Roarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141715 PECOS PAC ID: 1557661204 Enrollment ID: I20151201003253 |
| Provider Name | Leslie R Feggans Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215329495 PECOS PAC ID: 7618289059 Enrollment ID: I20160112002584 |
| Provider Name | Denise Rageis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427599430 PECOS PAC ID: 7012285877 Enrollment ID: I20170620000673 |
| Provider Name | Lyn Rairdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922517317 PECOS PAC ID: 9436416138 Enrollment ID: I20171206000159 |
| Provider Name | Amy Lynn Sunday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407195845 PECOS PAC ID: 2062770266 Enrollment ID: I20171216000016 |
| Provider Name | Adjoa Amoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942710660 PECOS PAC ID: 8022378264 Enrollment ID: I20180207001549 |
| Provider Name | Megan R Morel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639437262 PECOS PAC ID: 9032479845 Enrollment ID: I20180215001295 |
| Provider Name | Ann E Defrangesco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225582497 PECOS PAC ID: 9032453683 Enrollment ID: I20181207001970 |
| Provider Name | Diana Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598145146 PECOS PAC ID: 7719287325 Enrollment ID: I20190207000052 |
| Provider Name | Alexandria L Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962773499 PECOS PAC ID: 3779917802 Enrollment ID: I20191226001557 |
| Provider Name | Lisa M Scully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770127326 PECOS PAC ID: 8022447598 Enrollment ID: I20200403001867 |
| Provider Name | Tanner Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295338671 PECOS PAC ID: 3577976232 Enrollment ID: I20210119002566 |
| Provider Name | David Tanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457949463 PECOS PAC ID: 2961818281 Enrollment ID: I20210311002166 |
| Provider Name | Debra A Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570393 PECOS PAC ID: 6305275843 Enrollment ID: I20210617002401 |
| Provider Name | Bernice Loretta Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750809919 PECOS PAC ID: 2466858709 Enrollment ID: I20210910002333 |
| Provider Name | Christine D Moriconi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164452447 PECOS PAC ID: 0749511699 Enrollment ID: I20211123001183 |
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