| Collegeville Psychological Center Inc | |
|
3301 Ridge Pike Eagleville PA 19403-1411 | |
| (610) 917-2200 | |
| (610) 917-2360 |
| Full Name | Collegeville Psychological Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3301 Ridge Pike, Eagleville, Pennsylvania |
| Authorized Official Name and Position | Samir F Faraq (PRESIDENT MEDICAL DIRECTOR) |
| Authorized Official Contact | 6109172200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collegeville Psychological Center Inc Po Box 187 Gwynedd Valley PA 19437-0187 Ph: (610) 917-2200 | Collegeville Psychological Center Inc 3301 Ridge Pike Eagleville PA 19403-1411 Ph: (610) 917-2200 |
| NPI Number | 1851305759 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 03/20/2026 |
| Certification Date | 03/20/2026 |
| Medicare PECOS PAC ID | 7618917378 |
|---|---|
| Medicare Enrollment ID | O20050512000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851305759 | NPI | - | NPPES |
| 1012250080001 | Medicaid | PA |
| Provider Name | Christine Farag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801419825 PECOS PAC ID: 0648695007 Enrollment ID: I20241023000027 |
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