| Lifestance Health | |
|
910 S Chapel St Suite 102 Newark DE 19713-3467 | |
| (302) 224-1400 | |
| (302) 224-1402 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 910 S Chapel St, Newark, Delaware |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 910 S Chapel St Suite 102 Newark DE 19713-3467 Ph: (302) 224-1400 | Lifestance Health 910 S Chapel St Suite 102 Newark DE 19713-3467 Ph: (302) 224-1400 |
| NPI Number | 1871719872 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 01/02/2024 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 3375620016 |
|---|---|
| Medicare Enrollment ID | O20080407000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871719872 | NPI | - | NPPES |
| Provider Name | Charles Molins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619159621 PECOS PAC ID: 5698856342 Enrollment ID: I20081023000142 |
| Provider Name | Kelly A Tan-haase |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275781858 PECOS PAC ID: 2466508858 Enrollment ID: I20090928000222 |
| Provider Name | Ilene Weintel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831390053 PECOS PAC ID: 5597953877 Enrollment ID: I20101230000900 |
| Provider Name | Kathleen Deford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679877864 PECOS PAC ID: 7810167053 Enrollment ID: I20110826000264 |
| Provider Name | Aimee Mcfarlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497081152 PECOS PAC ID: 6709052541 Enrollment ID: I20111229000284 |
| Provider Name | Ellin H Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417113309 PECOS PAC ID: 2365677010 Enrollment ID: I20131105000508 |
| Provider Name | Miles F Leon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689705857 PECOS PAC ID: 8426280298 Enrollment ID: I20140409000999 |
| Provider Name | Kathleen J Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821423492 PECOS PAC ID: 1951524487 Enrollment ID: I20140602000262 |
| Provider Name | Johnny E Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336550508 PECOS PAC ID: 8628290145 Enrollment ID: I20141117000075 |
| Provider Name | Donna V Huntington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235207382 PECOS PAC ID: 8426371436 Enrollment ID: I20141224001074 |
| Provider Name | Kristin David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371176 PECOS PAC ID: 5890014724 Enrollment ID: I20150428000053 |
| Provider Name | Sabina Bonfadini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148231 PECOS PAC ID: 9537476825 Enrollment ID: I20150918001735 |
| Provider Name | Kylee Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639547359 PECOS PAC ID: 3870802481 Enrollment ID: I20151022000535 |
| Provider Name | Tanya E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720478563 PECOS PAC ID: 8921301532 Enrollment ID: I20160114001348 |
| Provider Name | Dolores Onorato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972929776 PECOS PAC ID: 1557584554 Enrollment ID: I20160202001892 |
| Provider Name | Vanessa L Haley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942215652 PECOS PAC ID: 5890084586 Enrollment ID: I20160519001370 |
| Provider Name | Cheryl J Grant |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821530197 PECOS PAC ID: 4183905268 Enrollment ID: I20170104000055 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366974628 PECOS PAC ID: 7113294034 Enrollment ID: I20170525000568 |
| Provider Name | Lisa Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053327189 PECOS PAC ID: 5092817023 Enrollment ID: I20170606001897 |
| Provider Name | Kathryn J Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881115863 PECOS PAC ID: 2668738493 Enrollment ID: I20171113000513 |
| Provider Name | Daniel L Weintraub |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194247254 PECOS PAC ID: 7810253648 Enrollment ID: I20171114000222 |
| Provider Name | Jolyn Pinamonti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467835298 PECOS PAC ID: 3678826765 Enrollment ID: I20181018001782 |
| Provider Name | Laura B Hummel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457437774 PECOS PAC ID: 0143316794 Enrollment ID: I20190730000045 |
| Provider Name | Jamie L Diorio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790327393 PECOS PAC ID: 5698108942 Enrollment ID: I20191127001864 |
| Provider Name | Vivian J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770115024 PECOS PAC ID: 7517395262 Enrollment ID: I20200312000658 |
| Provider Name | Dora A Temple Irwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437796984 PECOS PAC ID: 0244660371 Enrollment ID: I20200414000067 |
| Provider Name | Stephanie A Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598371510 PECOS PAC ID: 8729408323 Enrollment ID: I20201021000474 |
| Provider Name | Patricia Hansen Figgs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437449667 PECOS PAC ID: 5890918791 Enrollment ID: I20201125000270 |
| Provider Name | Aroya Jade Ponzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881284586 PECOS PAC ID: 2365859329 Enrollment ID: I20210318002861 |
| Provider Name | Naveed Bajwa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295126613 PECOS PAC ID: 4587097209 Enrollment ID: I20210324000473 |
| Provider Name | Jennie Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295335503 PECOS PAC ID: 9931516648 Enrollment ID: I20210325000149 |
| Provider Name | Daphne M Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619093341 PECOS PAC ID: 7113334608 Enrollment ID: I20210330000381 |
| Provider Name | Misty Speight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093380073 PECOS PAC ID: 9133529928 Enrollment ID: I20210616000819 |
| Provider Name | Karen Sue Suetterlein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922369784 PECOS PAC ID: 5193976546 Enrollment ID: I20210715000092 |
| Provider Name | Asya Monique Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568022531 PECOS PAC ID: 4183028889 Enrollment ID: I20210803000805 |
| Provider Name | Gerald Obale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649945452 PECOS PAC ID: 6406254887 Enrollment ID: I20211015000896 |
| Provider Name | Heather J Gilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932416385 PECOS PAC ID: 1759779747 Enrollment ID: I20211025001183 |
| Provider Name | Heather Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902574494 PECOS PAC ID: 5597153205 Enrollment ID: I20211029001770 |
| Provider Name | Morgan Lee Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326717562 PECOS PAC ID: 2365830882 Enrollment ID: I20211102000988 |
| Provider Name | Charis Foraker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487324117 PECOS PAC ID: 7911395322 Enrollment ID: I20211103002160 |
| Provider Name | Rebecca Felicia Bertuccio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568006468 PECOS PAC ID: 0749679025 Enrollment ID: I20211108000057 |
| Provider Name | Siobhan L Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801559067 PECOS PAC ID: 2365832490 Enrollment ID: I20211206000272 |
| Provider Name | Xiaojing Shi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861879900 PECOS PAC ID: 6507193430 Enrollment ID: I20211208002472 |
| Provider Name | Bernadette Momoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841400223 PECOS PAC ID: 0244590594 Enrollment ID: I20220225000934 |
| Provider Name | Logan J Bolander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902550080 PECOS PAC ID: 2163818295 Enrollment ID: I20220329002768 |
| Provider Name | James Comotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326542622 PECOS PAC ID: 9537407879 Enrollment ID: I20220609002381 |
| Provider Name | David August |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477700185 PECOS PAC ID: 7416017991 Enrollment ID: I20220629000092 |
| Provider Name | Aeysha Jhileed Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245967165 PECOS PAC ID: 0244614907 Enrollment ID: I20220829003180 |
| Provider Name | Elizabeth Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225758261 PECOS PAC ID: 6204211592 Enrollment ID: I20220922003203 |
| Provider Name | Daniel A Kleiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689793556 PECOS PAC ID: 5991171845 Enrollment ID: I20221018000097 |
| Provider Name | Kristin Hellauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104034602 PECOS PAC ID: 1850618679 Enrollment ID: I20221103000376 |
| Provider Name | Carolyn Ann Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619689833 PECOS PAC ID: 0840661450 Enrollment ID: I20230118001967 |
| Provider Name | Christina M Vocaturo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649281999 PECOS PAC ID: 6305947474 Enrollment ID: I20230510002642 |
| Provider Name | Elisheva Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619622503 PECOS PAC ID: 4183081482 Enrollment ID: I20230601000028 |
| Provider Name | Marni N Seyyid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801046941 PECOS PAC ID: 6204099922 Enrollment ID: I20230609000826 |
| Provider Name | Jose Rendon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700996402 PECOS PAC ID: 8628048733 Enrollment ID: I20230614000502 |
| Provider Name | Linda Gable-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675888 PECOS PAC ID: 1456523893 Enrollment ID: I20230617000293 |
| Provider Name | Myniqua Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285344614 PECOS PAC ID: 3375901291 Enrollment ID: I20230623002667 |
| Provider Name | Dia Arpon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639102395 PECOS PAC ID: 6002877610 Enrollment ID: I20230717003464 |
| Provider Name | Bernard Nosanchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679709505 PECOS PAC ID: 4183776933 Enrollment ID: I20230807002625 |
| Provider Name | Leena Samuel Saj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649888439 PECOS PAC ID: 1557787322 Enrollment ID: I20230823000764 |
| Provider Name | Jeffrey Lee Shralow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043557861 PECOS PAC ID: 0840444774 Enrollment ID: I20230907001733 |
| Provider Name | Reese Hawk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588376610 PECOS PAC ID: 9436513892 Enrollment ID: I20230919000408 |
| Provider Name | Sheila Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003859158 PECOS PAC ID: 3375619620 Enrollment ID: I20231012002687 |
| Provider Name | Catherine Lacy Mucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609318732 PECOS PAC ID: 6406204064 Enrollment ID: I20231121001866 |
| Provider Name | Nancy K Craven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174544019 PECOS PAC ID: 7113373655 Enrollment ID: I20240129002021 |
| Provider Name | Elizabeth Mittal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972157584 PECOS PAC ID: 8426491200 Enrollment ID: I20240208002306 |
| Provider Name | Geneva Yvonne Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043868680 PECOS PAC ID: 0244673754 Enrollment ID: I20240212001346 |
| Provider Name | Tyler Kackley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033870308 PECOS PAC ID: 7517300916 Enrollment ID: I20240213000058 |
| Provider Name | Robin G. Barnett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740536010 PECOS PAC ID: 8729421136 Enrollment ID: I20240213000266 |
| Provider Name | Michael E Considine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700981669 PECOS PAC ID: 0941644355 Enrollment ID: I20240213004427 |
| Provider Name | Arkava Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588823298 PECOS PAC ID: 1557705928 Enrollment ID: I20240214001508 |
| Provider Name | Virginia Ann Turssline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679079677 PECOS PAC ID: 9739523010 Enrollment ID: I20240214002304 |
| Provider Name | Ashley Marie Francesco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992429351 PECOS PAC ID: 2466896758 Enrollment ID: I20240214002731 |
| Provider Name | Nancy Lynne Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750625323 PECOS PAC ID: 5698119998 Enrollment ID: I20240214002924 |
| Provider Name | Patricia Brown Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598526501 PECOS PAC ID: 7012351349 Enrollment ID: I20240214003850 |
| Provider Name | Cynthia Ann Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821428046 PECOS PAC ID: 6002250198 Enrollment ID: I20240216001112 |
| Provider Name | Jacklin Dibiaso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851971113 PECOS PAC ID: 4789028614 Enrollment ID: I20240220001232 |
| Provider Name | Cheryl R. Wagner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114695152 PECOS PAC ID: 0143664862 Enrollment ID: I20240221000391 |
| Provider Name | Janice Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427511575 PECOS PAC ID: 4183068729 Enrollment ID: I20240222000242 |
| Provider Name | Shashonna L Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629468780 PECOS PAC ID: 1355785932 Enrollment ID: I20240222001800 |
| Provider Name | Amanda Mahony |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760112452 PECOS PAC ID: 4587008032 Enrollment ID: I20240222004264 |
| Provider Name | Lavonya Ann Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003431594 PECOS PAC ID: 1557705019 Enrollment ID: I20240223000377 |
| Provider Name | Debra Meliodon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336622034 PECOS PAC ID: 4981049137 Enrollment ID: I20240228001109 |
| Provider Name | Tiffany Dyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821760083 PECOS PAC ID: 8325430978 Enrollment ID: I20240301000543 |
| Provider Name | Alessandra Citro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639875172 PECOS PAC ID: 0749626257 Enrollment ID: I20240306003889 |
| Provider Name | Jessica Caruana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518331644 PECOS PAC ID: 5991141392 Enrollment ID: I20240307002729 |
| Provider Name | Cynthia Lynn Carilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720738594 PECOS PAC ID: 5698111003 Enrollment ID: I20240307003219 |
Act Team 1 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Capitol Trail (bldg. 1), Suite 1210, Newark, DE 19711 Phone: 302-894-7900 Fax: 302-737-1460 | |
Mindful Concepts Therapeutic And Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Highland Cir, Newark, DE 19713 Phone: 215-880-2949 | |
Scott B Barnthouse Crc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Creek Bend Dr, Newark, DE 19711 Phone: 302-766-4185 | |
Donges Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 254 Chapman Rd Ste 20811034, Newark, DE 19702 Phone: 610-248-1378 | |
Allied Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1400 Peoples Plz, Suite 204, Newark, DE 19702 Phone: 302-832-1282 Fax: 302-832-7313 | |
Rising Hope Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 262 Chapman Rd Ste 201b, Newark, DE 19702 Phone: 302-738-5946 | |
Pinnacle Autism Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Janice Dr, Newark, DE 19713 Phone: 302-740-5726 |