| Mccd New Jersey Psychiatry Services Llc | |
|
525 Route 73 N Ste 117 Marlton NJ 08053-3422 | |
| (833) 351-8255 | |
| Not Available |
| Full Name | Mccd New Jersey Psychiatry Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 525 Route 73 N Ste 117, Marlton, New Jersey |
| Authorized Official Name and Position | Georgia Gaveras (OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9173097915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccd New Jersey Psychiatry Services Llc 109 W 27th St # 5s New York NY 10001-6208 Ph: (833) 351-8255 | Mccd New Jersey Psychiatry Services Llc 525 Route 73 N Ste 117 Marlton NJ 08053-3422 Ph: (833) 351-8255 |
| NPI Number | 1023729530 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 8921452350 |
|---|---|
| Medicare Enrollment ID | O20231003003019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023729530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Komal S Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942388228 PECOS PAC ID: 4688661168 Enrollment ID: I20040427001159 |
| Provider Name | Melissa Eve Racklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164728499 PECOS PAC ID: 7214955046 Enrollment ID: I20060104000243 |
| Provider Name | Ankila Sharavati Chandran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093781114 PECOS PAC ID: 2961417753 Enrollment ID: I20060215000628 |
| Provider Name | George Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487729141 PECOS PAC ID: 7113092271 Enrollment ID: I20080825000283 |
| Provider Name | Suzanne M Doubrava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104076058 PECOS PAC ID: 1254481096 Enrollment ID: I20090616000708 |
| Provider Name | Eva Sleczka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124252309 PECOS PAC ID: 4789738188 Enrollment ID: I20090819000837 |
| Provider Name | Christine Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417064908 PECOS PAC ID: 2769662063 Enrollment ID: I20111221000365 |
| Provider Name | Brenda Camacho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821175134 PECOS PAC ID: 9638313737 Enrollment ID: I20130911000195 |
| Provider Name | Paul Hogate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497973572 PECOS PAC ID: 1052620820 Enrollment ID: I20151016001721 |
| Provider Name | Vandana Kethini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982959839 PECOS PAC ID: 8325321987 Enrollment ID: I20170207000289 |
| Provider Name | Elaine Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710423702 PECOS PAC ID: 9638442718 Enrollment ID: I20170912002371 |
| Provider Name | Jonathan A Hertz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881747152 PECOS PAC ID: 8820014160 Enrollment ID: I20180522000313 |
| Provider Name | Jillian Saad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871814269 PECOS PAC ID: 7517180052 Enrollment ID: I20190618000900 |
| Provider Name | Swarnalata Debbarma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639607740 PECOS PAC ID: 5294060471 Enrollment ID: I20190710001883 |
| Provider Name | Sameerah Fatima Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881075364 PECOS PAC ID: 1951632546 Enrollment ID: I20191014000179 |
| Provider Name | David Scott Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492125 PECOS PAC ID: 1951710979 Enrollment ID: I20210504001431 |
| Provider Name | Danielle Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578906905 PECOS PAC ID: 5991100968 Enrollment ID: I20210830001633 |
| Provider Name | Susan Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588196018 PECOS PAC ID: 0244632248 Enrollment ID: I20211004002390 |
| Provider Name | Whitney Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851802227 PECOS PAC ID: 0547651978 Enrollment ID: I20211220001193 |
| Provider Name | Arif Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033648068 PECOS PAC ID: 7113313685 Enrollment ID: I20220408002051 |
| Provider Name | Roshni Panchal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023423415 PECOS PAC ID: 1759778160 Enrollment ID: I20220503000823 |
| Provider Name | Stephen Geisler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891859914 PECOS PAC ID: 5890765226 Enrollment ID: I20220525002433 |
| Provider Name | Georgia Gaveras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801951090 PECOS PAC ID: 3375699838 Enrollment ID: I20220615000799 |
| Provider Name | Alice Jiang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649777376 PECOS PAC ID: 7315334349 Enrollment ID: I20220617001254 |
| Provider Name | Justin Pereira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912402348 PECOS PAC ID: 1153675756 Enrollment ID: I20220630001097 |
| Provider Name | Monica Badillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982083077 PECOS PAC ID: 0840621033 Enrollment ID: I20220704000252 |
| Provider Name | Caitlin Schroen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205326071 PECOS PAC ID: 0143605576 Enrollment ID: I20220920003810 |
| Provider Name | Maria Carvajal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841722493 PECOS PAC ID: 0345668356 Enrollment ID: I20221013001529 |
| Provider Name | Neha Goel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770060576 PECOS PAC ID: 6507104619 Enrollment ID: I20221026000103 |
| Provider Name | Esha Garg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427555853 PECOS PAC ID: 1850640616 Enrollment ID: I20221028000118 |
| Provider Name | Avreliya Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003051178 PECOS PAC ID: 8224201991 Enrollment ID: I20221119000590 |
| Provider Name | Briana Mathews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690896 PECOS PAC ID: 6305249467 Enrollment ID: I20221119000596 |
| Provider Name | Daniel Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639249741 PECOS PAC ID: 9133162241 Enrollment ID: I20221121000034 |
| Provider Name | Adele Veksman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578709572 PECOS PAC ID: 8628243789 Enrollment ID: I20221121000851 |
| Provider Name | Alexandra Sarah Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720432289 PECOS PAC ID: 8426392275 Enrollment ID: I20221121002562 |
| Provider Name | Zeynep Altun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154440758 PECOS PAC ID: 9638255664 Enrollment ID: I20221121002955 |
| Provider Name | Milena Goldshmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295095594 PECOS PAC ID: 0749589968 Enrollment ID: I20221121003375 |
| Provider Name | Nidhi Sharoha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285079178 PECOS PAC ID: 6507165636 Enrollment ID: I20221121003402 |
| Provider Name | Michael Underriner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568810109 PECOS PAC ID: 7618223553 Enrollment ID: I20221122003632 |
| Provider Name | Ayanna Swinton Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053359851 PECOS PAC ID: 2163445735 Enrollment ID: I20221125000132 |
| Provider Name | Andrew Wilbur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346773546 PECOS PAC ID: 5991076234 Enrollment ID: I20221208000487 |
| Provider Name | Nirupama Natarajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679068548 PECOS PAC ID: 7517349319 Enrollment ID: I20230323000156 |
| Provider Name | Dana Sommers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326761776 PECOS PAC ID: 7810365582 Enrollment ID: I20230506000027 |
| Provider Name | Syed Muhammad Hamzah Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180299 PECOS PAC ID: 9234514472 Enrollment ID: I20230515003037 |
| Provider Name | Camille Mendez Maldonado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851654438 PECOS PAC ID: 0749610764 Enrollment ID: I20231023000506 |
| Provider Name | Andrew Lelin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588119762 PECOS PAC ID: 7113341629 Enrollment ID: I20231024001621 |
| Provider Name | Ekaterini Telonis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679070676 PECOS PAC ID: 3072859933 Enrollment ID: I20231025003861 |
| Provider Name | Maria Abramov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285169383 PECOS PAC ID: 2860739661 Enrollment ID: I20231026000258 |
| Provider Name | Ruosi Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164911566 PECOS PAC ID: 6002160306 Enrollment ID: I20231026004292 |
| Provider Name | Swagato Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720585458 PECOS PAC ID: 2062766538 Enrollment ID: I20231107000161 |
| Provider Name | Ernesto Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174765556 PECOS PAC ID: 1456595966 Enrollment ID: I20231107001192 |
| Provider Name | Geoffrey Edelstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922617190 PECOS PAC ID: 7810315702 Enrollment ID: I20231121001571 |
| Provider Name | Jenna Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144674904 PECOS PAC ID: 0840536488 Enrollment ID: I20231207002253 |
| Provider Name | Rebecca Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710552419 PECOS PAC ID: 2062857303 Enrollment ID: I20240227001869 |
| Provider Name | Theresa Colberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437592540 PECOS PAC ID: 3274806492 Enrollment ID: I20240304004062 |
| Provider Name | Karina Johanna Eugenio Vargas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467105304 PECOS PAC ID: 2163872011 Enrollment ID: I20240319000274 |
| Provider Name | Leah Elizabeth Clary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164851606 PECOS PAC ID: 3274982442 Enrollment ID: I20240319000954 |
| Provider Name | Jingu Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720566177 PECOS PAC ID: 6507255742 Enrollment ID: I20240321000016 |
| Provider Name | Lisa Citarella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972981694 PECOS PAC ID: 3476992082 Enrollment ID: I20240416001280 |
| Provider Name | Renee Katherine Larock-gary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700360732 PECOS PAC ID: 6507218682 Enrollment ID: I20240418000166 |
| Provider Name | Tom Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464623 PECOS PAC ID: 1658621644 Enrollment ID: I20240424002800 |
| Provider Name | Emily Romeo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497225056 PECOS PAC ID: 0749630325 Enrollment ID: I20240514002528 |
| Provider Name | Brandi Cihlar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245623172 PECOS PAC ID: 4082065230 Enrollment ID: I20240517003349 |
| Provider Name | Maria Conklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841452901 PECOS PAC ID: 1759723877 Enrollment ID: I20240521002693 |
| Provider Name | Shivani Malhotra Borhara |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629688932 PECOS PAC ID: 2567906639 Enrollment ID: I20240701000061 |
| Provider Name | Jennifer Melanie Sobol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164043071 PECOS PAC ID: 2567811516 Enrollment ID: I20240708002305 |
| Provider Name | Myleka Garnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881119030 PECOS PAC ID: 6709328495 Enrollment ID: I20240722003622 |
| Provider Name | Tiffany Berit Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902519614 PECOS PAC ID: 2163865221 Enrollment ID: I20240724000091 |
| Provider Name | Anantharam Peesapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801424478 PECOS PAC ID: 8022555820 Enrollment ID: I20240729004511 |
| Provider Name | Shilpika Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104196211 PECOS PAC ID: 9739323858 Enrollment ID: I20240809000104 |
| Provider Name | Alessandra Buonopane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457423493 PECOS PAC ID: 2062519903 Enrollment ID: I20240809002897 |
| Provider Name | Kimberly Ruth Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528346707 PECOS PAC ID: 9537414081 Enrollment ID: I20240812000584 |
| Provider Name | Molly Fels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093210478 PECOS PAC ID: 5294071254 Enrollment ID: I20240813001900 |
| Provider Name | Sara Mateo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669098919 PECOS PAC ID: 9133650724 Enrollment ID: I20241007003322 |
| Provider Name | Niles Harris Drake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194985507 PECOS PAC ID: 4981867512 Enrollment ID: I20241015000301 |
| Provider Name | Kristen Michelle Stack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174893994 PECOS PAC ID: 4082148580 Enrollment ID: I20241106001833 |
| Provider Name | Erica Linnell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275028979 PECOS PAC ID: 4486903192 Enrollment ID: I20250207002616 |
| Provider Name | Leora Golan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770399354 PECOS PAC ID: 0547783698 Enrollment ID: I20250410003284 |
| Provider Name | Jennifer Rose Maguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922357730 PECOS PAC ID: 1153840772 Enrollment ID: I20250528000632 |
Tree Of Life Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Cooper Ave, Suite A, Marlton, NJ 08053 Phone: 856-905-3540 | |
Lrx Of South Jersey, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Route 73 N, Suite E, Marlton, NJ 08053 Phone: 856-348-3600 Fax: 856-348-3602 | |
Capstone Behavioral Health L.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 102 Centre Blvd Ste E, Marlton, NJ 08053 Phone: 856-462-6400 Fax: 856-302-0108 | |
Genesis Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003c Lincoln Drive West, Marlton, NJ 08053 Phone: 856-596-8007 Fax: 856-596-8699 | |
Center For Counseling And Education Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 E Main St, Marlton, NJ 08053 Phone: 856-985-9091 Fax: 856-985-9092 | |
Marizita T Seher, Psyd, Limited Liability Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-4124 Fax: 609-261-7199 |