| Merakey Philadelphia | |
|
27 E Mount Airy Ave Philadelphia PA 19119-1713 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Philadelphia |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 27 E Mount Airy Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Philadelphia 620 Germantown Pike Lafayette Hill PA 19444-1810 Ph: (215) 836-3131 | Merakey Philadelphia 27 E Mount Airy Ave Philadelphia PA 19119-1713 Ph: (215) 836-3131 |
| NPI Number | 1073636866 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 9335034669 |
|---|---|
| Medicare Enrollment ID | O20040217000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073636866 | NPI | - | NPPES |
| 1000017350115 | Medicaid | PA | |
| 1000017350316 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Denise Deguzman Senyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417054586 PECOS PAC ID: 0143133918 Enrollment ID: I20031107000329 |
| Provider Name | Fathima Farhan Musthaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437204914 PECOS PAC ID: 3971599440 Enrollment ID: I20040421000684 |
| Provider Name | Saleha Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144283052 PECOS PAC ID: 9436134194 Enrollment ID: I20040618000859 |
| Provider Name | Jeffrey David Bedrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174573869 PECOS PAC ID: 9335197284 Enrollment ID: I20050106000837 |
| Provider Name | Usha Sagreiya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083837371 PECOS PAC ID: 0244279651 Enrollment ID: I20050426000658 |
| Provider Name | Josephine Agdamag Pobre-so |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679580310 PECOS PAC ID: 5092755827 Enrollment ID: I20050511000023 |
| Provider Name | Motaz Alhomsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154455798 PECOS PAC ID: 9436169208 Enrollment ID: I20060425000456 |
| Provider Name | Andrew Mark Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730232562 PECOS PAC ID: 4880695949 Enrollment ID: I20070117000087 |
| Provider Name | Thomas Holdbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942389762 PECOS PAC ID: 2163527136 Enrollment ID: I20070419000449 |
| Provider Name | M Samson Seplow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477686608 PECOS PAC ID: 0446323125 Enrollment ID: I20080715000284 |
| Provider Name | Anna Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679823017 PECOS PAC ID: 5799938759 Enrollment ID: I20121227000275 |
| Provider Name | Irene G Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487998894 PECOS PAC ID: 1759534886 Enrollment ID: I20130123000337 |
| Provider Name | Anowar Hossain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942418090 PECOS PAC ID: 8729257480 Enrollment ID: I20140430001492 |
| Provider Name | Sareta M Coubarous |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558323196 PECOS PAC ID: 5799797791 Enrollment ID: I20141104002223 |
| Provider Name | Ben L Boswell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528316122 PECOS PAC ID: 6002137197 Enrollment ID: I20150601002357 |
| Provider Name | Liudmila Lobach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962832808 PECOS PAC ID: 3476864919 Enrollment ID: I20150624001676 |
| Provider Name | Merin Wexler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235519331 PECOS PAC ID: 6002106192 Enrollment ID: I20160601002341 |
| Provider Name | Aminata Cisse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699031203 PECOS PAC ID: 7214221159 Enrollment ID: I20161005001535 |
| Provider Name | Mini Varghese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124275979 PECOS PAC ID: 9537444591 Enrollment ID: I20170315000160 |
| Provider Name | Karen Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902342991 PECOS PAC ID: 2264717909 Enrollment ID: I20170321001751 |
| Provider Name | Jennifer Bush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760030092 PECOS PAC ID: 3870824873 Enrollment ID: I20191004002392 |
| Provider Name | Clement John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184271074 PECOS PAC ID: 5698182228 Enrollment ID: I20210329000280 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
Asociacion De Puertorriquenos En Marcha, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
The Phil.consultation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |