| Eastern Pennsylvania Physician Alliance Llc | |
|
2 Hospital Dr Clarion PA 16214-8502 | |
| (814) 226-9545 | |
| (814) 226-9097 |
| Full Name | Eastern Pennsylvania Physician Alliance Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2 Hospital Dr, Clarion, Pennsylvania |
| Authorized Official Name and Position | Todd Evans (VP) |
| Authorized Official Contact | 6103824943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Pennsylvania Physician Alliance Llc 367 S Gulph Rd King Of Prussia PA 19406-3121 Ph: () - | Eastern Pennsylvania Physician Alliance Llc 2 Hospital Dr Clarion PA 16214-8502 Ph: (814) 226-9545 |
| NPI Number | 1902440621 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 8325478662 |
|---|---|
| Medicare Enrollment ID | O20200428001935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902440621 | NPI | - | NPPES |
| PENDING | Medicaid | PA |
| Provider Name | Jonathan G. Shack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629066626 PECOS PAC ID: 5092608265 Enrollment ID: I20040203000756 |
| Provider Name | Kem Yenal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215913868 PECOS PAC ID: 5890683932 Enrollment ID: I20040309001057 |
| Provider Name | Ronald D Mcfadden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285718734 PECOS PAC ID: 6002809191 Enrollment ID: I20040405001605 |
| Provider Name | Anil K Rai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306830658 PECOS PAC ID: 3375537962 Enrollment ID: I20040414001591 |
| Provider Name | Mahrukh S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467426247 PECOS PAC ID: 6901891407 Enrollment ID: I20040415000388 |
| Provider Name | Fathima F Musthaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437204914 PECOS PAC ID: 3971599440 Enrollment ID: I20040421000684 |
| Provider Name | Rashid S Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154301901 PECOS PAC ID: 3274521794 Enrollment ID: I20040504000612 |
| Provider Name | Silvia Gratz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134161938 PECOS PAC ID: 9335139815 Enrollment ID: I20040517000263 |
| Provider Name | Johann P Othmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518050327 PECOS PAC ID: 3072503580 Enrollment ID: I20040517000502 |
| Provider Name | Darren F Piechota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205995552 PECOS PAC ID: 8426037847 Enrollment ID: I20040901000428 |
| Provider Name | Jagruti Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306945852 PECOS PAC ID: 1456312370 Enrollment ID: I20041025000327 |
| Provider Name | Andrew C Simonson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396845806 PECOS PAC ID: 2365404969 Enrollment ID: I20041027000110 |
| Provider Name | Raghava Ghosala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639121270 PECOS PAC ID: 4082679790 Enrollment ID: I20041122001029 |
| Provider Name | John P Leichner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225072192 PECOS PAC ID: 2567414832 Enrollment ID: I20050215000417 |
| Provider Name | Abdulbari K Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093838286 PECOS PAC ID: 3779500939 Enrollment ID: I20051027000056 |
| Provider Name | Chand P Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164453775 PECOS PAC ID: 0345269973 Enrollment ID: I20051114000423 |
| Provider Name | Abayomi O Ige |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184620130 PECOS PAC ID: 4183648967 Enrollment ID: I20060119000422 |
| Provider Name | Chaudhry M Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013957091 PECOS PAC ID: 6103831888 Enrollment ID: I20060216000356 |
| Provider Name | Pamela A. London |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750421962 PECOS PAC ID: 0244248011 Enrollment ID: I20060405000413 |
| Provider Name | Daniela Krausz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922113281 PECOS PAC ID: 8022019041 Enrollment ID: I20070118000026 |
| Provider Name | Karriem Latett Salaam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114032786 PECOS PAC ID: 0547262537 Enrollment ID: I20070205000010 |
| Provider Name | Sarah N Gatumu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750489845 PECOS PAC ID: 1951303833 Enrollment ID: I20070206000197 |
| Provider Name | Mohamado Musthaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831115559 PECOS PAC ID: 0749386209 Enrollment ID: I20070501000171 |
| Provider Name | Paul A Ballas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033256235 PECOS PAC ID: 6709982614 Enrollment ID: I20070509000080 |
| Provider Name | Indranil Chakrabarti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457302143 PECOS PAC ID: 7810093747 Enrollment ID: I20070509000246 |
| Provider Name | Nasifa Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215074489 PECOS PAC ID: 4587760459 Enrollment ID: I20070509000609 |
| Provider Name | Ramesh Koneru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184650475 PECOS PAC ID: 8123125242 Enrollment ID: I20070523000629 |
| Provider Name | Karen L Tempest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891705752 PECOS PAC ID: 8729186481 Enrollment ID: I20070605000234 |
| Provider Name | Venkat P Chakkaravarthi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285831693 PECOS PAC ID: 2961593926 Enrollment ID: I20070806000091 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295926194 PECOS PAC ID: 2163516469 Enrollment ID: I20070918000143 |
| Provider Name | Hani S Zaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750335519 PECOS PAC ID: 1153411301 Enrollment ID: I20071212000412 |
| Provider Name | Panduranga Venkataramana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891815775 PECOS PAC ID: 6002995438 Enrollment ID: I20080509000202 |
| Provider Name | Syed Z Manzoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194928952 PECOS PAC ID: 9032282272 Enrollment ID: I20080721000521 |
| Provider Name | Fauzia G Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518059724 PECOS PAC ID: 6608936778 Enrollment ID: I20081119000257 |
| Provider Name | Izabella L Dyakovetsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073512927 PECOS PAC ID: 5193888790 Enrollment ID: I20090108000041 |
| Provider Name | Mustafa Kaleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578724258 PECOS PAC ID: 6608929583 Enrollment ID: I20090727000118 |
| Provider Name | Brigid Bautista |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770639080 PECOS PAC ID: 8325032295 Enrollment ID: I20100323000161 |
| Provider Name | Shawn L Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992709844 PECOS PAC ID: 5395875959 Enrollment ID: I20100609000396 |
| Provider Name | Cathy S Shadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932146917 PECOS PAC ID: 0648301598 Enrollment ID: I20100622000220 |
| Provider Name | Edward Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013009216 PECOS PAC ID: 4082806849 Enrollment ID: I20101012000516 |
| Provider Name | Frank J Hamlett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659377760 PECOS PAC ID: 4688862956 Enrollment ID: I20101230000776 |
| Provider Name | Roseann Theresa Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245532878 PECOS PAC ID: 9739363979 Enrollment ID: I20110412000759 |
| Provider Name | Lee D Silverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760498927 PECOS PAC ID: 1658556089 Enrollment ID: I20110429000330 |
| Provider Name | Neil R Cohn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699784777 PECOS PAC ID: 1456536887 Enrollment ID: I20110429000350 |
| Provider Name | James Boote Congdon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588764153 PECOS PAC ID: 2466638689 Enrollment ID: I20110523000734 |
| Provider Name | Thambipillai Sureshkumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134211253 PECOS PAC ID: 6002094059 Enrollment ID: I20110622000696 |
| Provider Name | Jeffrey M. Moll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386972040 PECOS PAC ID: 1355508177 Enrollment ID: I20120207000430 |
| Provider Name | Frances Aledo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912110859 PECOS PAC ID: 1557400058 Enrollment ID: I20130109000141 |
| Provider Name | Ebere A Anokwuru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619255825 PECOS PAC ID: 7315189123 Enrollment ID: I20130807000589 |
| Provider Name | Ashley E Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962844985 PECOS PAC ID: 3678716032 Enrollment ID: I20130904000359 |
| Provider Name | Marina Shainsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023273158 PECOS PAC ID: 8921242082 Enrollment ID: I20130912000042 |
| Provider Name | Sultana Begum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457304909 PECOS PAC ID: 9739127572 Enrollment ID: I20131101000331 |
| Provider Name | Jaspreet Singh Bains |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588003826 PECOS PAC ID: 8426284985 Enrollment ID: I20131112001041 |
| Provider Name | Olumide O Oluwabusi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972733061 PECOS PAC ID: 2466680681 Enrollment ID: I20140116000148 |
| Provider Name | Lavenia Fain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697202 PECOS PAC ID: 6103047824 Enrollment ID: I20141022001615 |
| Provider Name | Santiago Almanzar Disla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770926750 PECOS PAC ID: 4880838697 Enrollment ID: I20141113000448 |
| Provider Name | Shobha Sem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336124452 PECOS PAC ID: 9032435904 Enrollment ID: I20150312000229 |
| Provider Name | Adewumi T Adebomojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558591248 PECOS PAC ID: 5991948374 Enrollment ID: I20150402000137 |
| Provider Name | Ademola A Bello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053609339 PECOS PAC ID: 4183935653 Enrollment ID: I20150624002715 |
| Provider Name | Rochelle B Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871977017 PECOS PAC ID: 0244545291 Enrollment ID: I20150819008820 |
| Provider Name | Fahad Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053622969 PECOS PAC ID: 8628396942 Enrollment ID: I20160208001247 |
| Provider Name | Adrienne N Lamb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538450820 PECOS PAC ID: 7315241544 Enrollment ID: I20160209002345 |
| Provider Name | Mohammad A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326339540 PECOS PAC ID: 9931404027 Enrollment ID: I20160229000108 |
| Provider Name | Ana Maria Sarasti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134159155 PECOS PAC ID: 4486640307 Enrollment ID: I20160303000891 |
| Provider Name | Chijioke Nnanna Egbujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164601548 PECOS PAC ID: 9830484005 Enrollment ID: I20160826001276 |
| Provider Name | Charles C Stanfa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861832156 PECOS PAC ID: 3072891258 Enrollment ID: I20161021001118 |
| Provider Name | Ashley Lauren Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781285 PECOS PAC ID: 3476835299 Enrollment ID: I20170131000601 |
| Provider Name | Cyntrell Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710242904 PECOS PAC ID: 0648553321 Enrollment ID: I20170202001685 |
| Provider Name | Elisabeth M Barclay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326245366 PECOS PAC ID: 4587698451 Enrollment ID: I20170321002481 |
| Provider Name | Randy J Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891137857 PECOS PAC ID: 4284910662 Enrollment ID: I20170419002505 |
| Provider Name | Paula M Diorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083155204 PECOS PAC ID: 3476820879 Enrollment ID: I20170606000358 |
| Provider Name | Paige Mclaughlin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1629390562 PECOS PAC ID: 5395054233 Enrollment ID: I20170905001944 |
| Provider Name | Charles A Wisniewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770997587 PECOS PAC ID: 8123382975 Enrollment ID: I20180503001229 |
| Provider Name | Leon E Cushenberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053669218 PECOS PAC ID: 1658660345 Enrollment ID: I20181012000941 |
| Provider Name | Kathryn J Newton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326457896 PECOS PAC ID: 7810240785 Enrollment ID: I20181023000189 |
| Provider Name | Justin Jye Chou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154611150 PECOS PAC ID: 9638487630 Enrollment ID: I20181029002300 |
| Provider Name | Geoffrey M Muthami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679059489 PECOS PAC ID: 4486907862 Enrollment ID: I20181101001033 |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20181108000054 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20190123003922 |
| Provider Name | Prasad R Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881009686 PECOS PAC ID: 2860730777 Enrollment ID: I20190218002752 |
| Provider Name | Lindsey S Harvilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750764361 PECOS PAC ID: 4486994803 Enrollment ID: I20190321002917 |
| Provider Name | Gloria Chomicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073977450 PECOS PAC ID: 6406134766 Enrollment ID: I20190520002218 |
| Provider Name | Michael Esang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780061846 PECOS PAC ID: 8224375696 Enrollment ID: I20190829000359 |
| Provider Name | Madhusmita Sahoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912499377 PECOS PAC ID: 2567793383 Enrollment ID: I20191009001875 |
| Provider Name | Bhanu Srigiriraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881076297 PECOS PAC ID: 8022349869 Enrollment ID: I20191009002781 |
| Provider Name | Kaushik Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205234754 PECOS PAC ID: 5890057210 Enrollment ID: I20191015001756 |
| Provider Name | Adesanmi A Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588079602 PECOS PAC ID: 4082965306 Enrollment ID: I20191211000163 |
| Provider Name | Shameem Momin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376804955 PECOS PAC ID: 0042454787 Enrollment ID: I20200130000833 |
| Provider Name | Dina A Greco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447690920 PECOS PAC ID: 5092141085 Enrollment ID: I20200211002277 |
| Provider Name | Mutiat L Ajibade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407480155 PECOS PAC ID: 9032532437 Enrollment ID: I20200701002602 |
| Provider Name | Amanda Petaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720666571 PECOS PAC ID: 8123436078 Enrollment ID: I20210414002215 |
| Provider Name | Konstantin Tetelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447836457 PECOS PAC ID: 8224446448 Enrollment ID: I20210427002954 |
| Provider Name | Sarita Oyeamarah Metzger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972033629 PECOS PAC ID: 5698183606 Enrollment ID: I20210526002381 |
| Provider Name | Jenny L Lugo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417478546 PECOS PAC ID: 9032488929 Enrollment ID: I20210625000914 |
| Provider Name | Salman N Salaria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891157699 PECOS PAC ID: 7911234158 Enrollment ID: I20210811000111 |
| Provider Name | Trevor Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235659277 PECOS PAC ID: 3870863137 Enrollment ID: I20210821000316 |
| Provider Name | Aqsa M Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225522717 PECOS PAC ID: 2163829722 Enrollment ID: I20210923002619 |
| Provider Name | Sundeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295487452 PECOS PAC ID: 2062805005 Enrollment ID: I20220215001428 |
| Provider Name | Erik Auker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508426404 PECOS PAC ID: 1759616113 Enrollment ID: I20220405003081 |
| Provider Name | Daniel Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528713088 PECOS PAC ID: 9436546678 Enrollment ID: I20220418002606 |
| Provider Name | Shiara Kaye Rendon Peart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062475 PECOS PAC ID: 1557758992 Enrollment ID: I20220503001914 |
| Provider Name | Ninaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699417857 PECOS PAC ID: 1951788918 Enrollment ID: I20220512000358 |
| Provider Name | Sabeen S Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609281575 PECOS PAC ID: 9032403001 Enrollment ID: I20220818000185 |
| Provider Name | Erin Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467179705 PECOS PAC ID: 3173995818 Enrollment ID: I20230207001440 |
| Provider Name | Belinda S Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720675408 PECOS PAC ID: 4789092982 Enrollment ID: I20230222001770 |
| Provider Name | Flor Mizrahi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790995793 PECOS PAC ID: 1254665888 Enrollment ID: I20230511003149 |
| Provider Name | Verra S Mubele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720341233 PECOS PAC ID: 6709245533 Enrollment ID: I20230711002344 |
| Provider Name | Franklyn Boothe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215433297 PECOS PAC ID: 4587910419 Enrollment ID: I20230726001237 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932769569 PECOS PAC ID: 4789075151 Enrollment ID: I20230809003935 |
| Provider Name | Brijae Chavarria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316408271 PECOS PAC ID: 2163885831 Enrollment ID: I20230828003955 |
| Provider Name | Mary Hulse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427837293 PECOS PAC ID: 5991154767 Enrollment ID: I20231206001331 |
| Provider Name | Dustin Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518549328 PECOS PAC ID: 2961811492 Enrollment ID: I20231218004252 |
| Provider Name | Chris Gauthier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083281141 PECOS PAC ID: 6709286701 Enrollment ID: I20240129001474 |
| Provider Name | Uchenna Joseph Ekeabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467225888 PECOS PAC ID: 8628414232 Enrollment ID: I20240306000247 |
| Provider Name | Kyle A Jobi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760111512 PECOS PAC ID: 3971982638 Enrollment ID: I20240612003186 |
| Provider Name | Peter J Cloney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043940463 PECOS PAC ID: 5597144139 Enrollment ID: I20240624000491 |
| Provider Name | Colby Lea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275273930 PECOS PAC ID: 0345785929 Enrollment ID: I20240709000756 |
| Provider Name | Keith N Luthuli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598335200 PECOS PAC ID: 1557808953 Enrollment ID: I20240802002259 |
| Provider Name | Jessica E Benson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235755331 PECOS PAC ID: 5698197135 Enrollment ID: I20240808002245 |
| Provider Name | Amir Mohebbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427409820 PECOS PAC ID: 8820385636 Enrollment ID: I20240809002250 |
| Provider Name | Jaswin Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174258727 PECOS PAC ID: 4789122573 Enrollment ID: I20240812001482 |
| Provider Name | Gregory Golembeski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457090011 PECOS PAC ID: 3173901840 Enrollment ID: I20240813002263 |
| Provider Name | Saral R Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366927394 PECOS PAC ID: 3971035148 Enrollment ID: I20241011003593 |
| Provider Name | Samuel A Rosenblatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700458791 PECOS PAC ID: 4486057205 Enrollment ID: I20241031003165 |
| Provider Name | Stanley O Nkemjika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851901185 PECOS PAC ID: 6507399391 Enrollment ID: I20241031003950 |
| Provider Name | Kristan M Sheffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487475323 PECOS PAC ID: 6305370156 Enrollment ID: I20241115001526 |
| Provider Name | Erin M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548080906 PECOS PAC ID: 6406382928 Enrollment ID: I20241206003712 |
| Provider Name | Olivia A Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801602305 PECOS PAC ID: 0749718658 Enrollment ID: I20250106002355 |
| Provider Name | Emeka B Boka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891182820 PECOS PAC ID: 2860705126 Enrollment ID: I20250205003630 |
| Provider Name | Ryan A Vesny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669867628 PECOS PAC ID: 9830514769 Enrollment ID: I20250320001084 |
| Provider Name | Samantha R Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467265405 PECOS PAC ID: 0143743062 Enrollment ID: I20250401000834 |
| Provider Name | Lauren C Ermentrout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639503527 PECOS PAC ID: 9638307093 Enrollment ID: I20250410001329 |
Decorte Acupressure Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Himes Rd, Clarion, PA 16214 Phone: 814-226-9810 Fax: 814-226-0205 | |
Alp Creations Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 S 4th Ave, Clarion, PA 16214 Phone: 814-227-7953 Fax: 814-797-9995 | |
Uhs Of Pennsylvania Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Hospital Dr, Clarion, PA 16214 Phone: 814-226-9545 Fax: 814-226-9097 | |
Uhs Of Pennsylvania Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Hospital Dr, Clarion, PA 16214 Phone: 814-226-9545 Fax: 814-226-9097 | |
Krd Counseling And Wellness Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 162 S 2nd Ave, Clarion, PA 16214 Phone: 824-299-6402 | |
Shamrock Solutions Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 Wood St, Clarion, PA 16214 Phone: 814-223-8696 Fax: 814-223-8696 | |
Clarion Family Therapy, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 22868 Route 68, Suite 5, Clarion, PA 16214 Phone: 814-227-2941 Fax: 814-227-2946 |