| Comhar, Inc | |
|
100 W Lehigh Ave Philadelphia PA 19133-4097 | |
| (215) 203-3000 | |
| (215) 203-3089 |
| Full Name | Comhar, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 100 W Lehigh Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mathew Elavumkal (CEO) |
| Authorized Official Contact | 2152033000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comhar, Inc 100 W Lehigh Ave Philadelphia PA 19133-4097 Ph: (215) 203-3000 | Comhar, Inc 100 W Lehigh Ave Philadelphia PA 19133-4097 Ph: (215) 203-3000 |
| NPI Number | 1013043702 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 05/13/2010 |
| Medicare PECOS PAC ID | 1951398452 |
|---|---|
| Medicare Enrollment ID | O20040427001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013043702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kristin M Vanzant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558578047 PECOS PAC ID: 0840284717 Enrollment ID: I20040413000990 |
| Provider Name | Joel E Streim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265469183 PECOS PAC ID: 7315957891 Enrollment ID: I20060427000633 |
| Provider Name | Maria Teresa Zoratti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316000359 PECOS PAC ID: 3971504903 Enrollment ID: I20070118000166 |
| Provider Name | Peter D Ganime |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174609580 PECOS PAC ID: 2466521976 Enrollment ID: I20080522000583 |
| Provider Name | Anika D Vaughn-cooke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376779470 PECOS PAC ID: 7911050315 Enrollment ID: I20090803000399 |
| Provider Name | Priyankar Sarkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215149661 PECOS PAC ID: 8729110705 Enrollment ID: I20100712000283 |
| Provider Name | Gerard M Deeney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417010505 PECOS PAC ID: 8527246297 Enrollment ID: I20110628000465 |
| Provider Name | Luis J Bird |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538222658 PECOS PAC ID: 5698931400 Enrollment ID: I20120724000209 |
| Provider Name | Anita C Angelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073676151 PECOS PAC ID: 1052567849 Enrollment ID: I20120810000055 |
| Provider Name | Branden A Youngman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316250723 PECOS PAC ID: 7214160704 Enrollment ID: I20140508000188 |
| Provider Name | Allen L Zaklad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881719656 PECOS PAC ID: 9133290075 Enrollment ID: I20141202001625 |
| Provider Name | Judith H Fuhrman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003221615 PECOS PAC ID: 2860711280 Enrollment ID: I20150507000451 |
| Provider Name | Thomasean Britten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790195386 PECOS PAC ID: 3072730662 Enrollment ID: I20161026002588 |
| Provider Name | Martin B Brecher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689963241 PECOS PAC ID: 9638392392 Enrollment ID: I20170130001942 |
| Provider Name | Habiba Mzougui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544147 PECOS PAC ID: 1456637578 Enrollment ID: I20170404000548 |
| Provider Name | Crystal A Amoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856138 PECOS PAC ID: 6507142320 Enrollment ID: I20170411000339 |
| Provider Name | Yandama Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083166045 PECOS PAC ID: 6608143573 Enrollment ID: I20170524001552 |
| Provider Name | Darcy L Pancir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331046 PECOS PAC ID: 6608147384 Enrollment ID: I20170731001778 |
| Provider Name | Carol M Birt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821194846 PECOS PAC ID: 8123156593 Enrollment ID: I20170928001123 |
| Provider Name | Emily Anne Kravinsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205954138 PECOS PAC ID: 0143571752 Enrollment ID: I20180920002529 |
| Provider Name | Krystine Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831499706 PECOS PAC ID: 8820054018 Enrollment ID: I20181106001207 |
| Provider Name | Nicolas Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982189361 PECOS PAC ID: 2961746177 Enrollment ID: I20181128003428 |
| Provider Name | Gordon S Zeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568935864 PECOS PAC ID: 6406195288 Enrollment ID: I20190222002319 |
| Provider Name | Patricia J Grendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609006949 PECOS PAC ID: 2567709280 Enrollment ID: I20191015000488 |
| Provider Name | Nichole Scheerer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790313831 PECOS PAC ID: 0547699290 Enrollment ID: I20200401002811 |
| Provider Name | Elizabeth Eunjin Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619528833 PECOS PAC ID: 0941631006 Enrollment ID: I20200506000708 |
| Provider Name | Charles D Falconer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770143430 PECOS PAC ID: 6002247178 Enrollment ID: I20200506001382 |
| Provider Name | Sarita Oyeamarah Metzger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972033629 PECOS PAC ID: 5698183606 Enrollment ID: I20210526002381 |
| Provider Name | Taber Cloey Lightbourne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407381486 PECOS PAC ID: 2264831825 Enrollment ID: I20210602000237 |
| Provider Name | Lisa Green Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912921966 PECOS PAC ID: 3072603265 Enrollment ID: I20210928000380 |
| Provider Name | Tiffany Dyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821760083 PECOS PAC ID: 8325430978 Enrollment ID: I20220112000268 |
| Provider Name | Macdaline Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750040184 PECOS PAC ID: 8022402908 Enrollment ID: I20220221000215 |
| Provider Name | Darby Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174275457 PECOS PAC ID: 2163817206 Enrollment ID: I20220328000976 |
| Provider Name | Vanessa R Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235349515 PECOS PAC ID: 0042687055 Enrollment ID: I20221103003320 |
| Provider Name | Christopher Aghedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831472109 PECOS PAC ID: 4082076740 Enrollment ID: I20230811000651 |
| Provider Name | Edinah T Chikunguwo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861056038 PECOS PAC ID: 7517292535 Enrollment ID: I20231018000683 |
| Provider Name | Dun-weah Mayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083481352 PECOS PAC ID: 8820433824 Enrollment ID: I20240229002354 |
| Provider Name | Katie Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598530289 PECOS PAC ID: 9537504535 Enrollment ID: I20240229002420 |
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