| Omni Health Services Inc | |
|
6930 Market St Fl 2 Upper Darby PA 19082-2308 | |
| (215) 997-2000 | |
| (215) 997-2282 |
| Full Name | Omni Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6930 Market St Fl 2, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Jan Montgomery (CREDENTIALING) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Services Inc Po Box 454 Montgomeryville PA 18936-0454 Ph: (215) 997-2000 | Omni Health Services Inc 6930 Market St Fl 2 Upper Darby PA 19082-2308 Ph: (215) 997-2000 |
| NPI Number | 1831236637 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 12/05/2025 |
| Certification Date | 12/05/2025 |
| Medicare PECOS PAC ID | 1153571831 |
|---|---|
| Medicare Enrollment ID | O20121016000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831236637 | NPI | - | NPPES |
| 102001663-0016 | Medicaid | PA | |
| 102001663-0040 | Medicaid | PA | |
| 102001663-0010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Fathima F Musthaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437204914 PECOS PAC ID: 3971599440 Enrollment ID: I20040421000684 |
| Provider Name | James O Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538367339 PECOS PAC ID: 4486733763 Enrollment ID: I20080626000098 |
| Provider Name | Joshua A Millman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154445443 PECOS PAC ID: 7315078391 Enrollment ID: I20100708000801 |
| Provider Name | Gerard M Deeney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417010505 PECOS PAC ID: 8527246297 Enrollment ID: I20110628000465 |
| Provider Name | Nohazarahit M Garcia Caraballo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720318678 PECOS PAC ID: 1557522018 Enrollment ID: I20120411000230 |
| Provider Name | Tendai M Mawindi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215217070 PECOS PAC ID: 1254595465 Enrollment ID: I20120619000153 |
| Provider Name | Gladys Tiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871810788 PECOS PAC ID: 7416125844 Enrollment ID: I20130403000009 |
| Provider Name | Elana Eisenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548375165 PECOS PAC ID: 4789810763 Enrollment ID: I20131121001101 |
| Provider Name | Leslie Feggans Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215329495 PECOS PAC ID: 7618289059 Enrollment ID: I20160112002584 |
| Provider Name | Sharon M Graaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417304809 PECOS PAC ID: 6901183839 Enrollment ID: I20170503000091 |
| Provider Name | Gary J Roytman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205290103 PECOS PAC ID: 4082075239 Enrollment ID: I20230803002489 |
| Provider Name | Pratibha Kamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437455854 PECOS PAC ID: 0345696563 Enrollment ID: I20231025000164 |
| Provider Name | Walka Estevez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285903781 PECOS PAC ID: 9638529035 Enrollment ID: I20231227002954 |
| Provider Name | Lana Elizabeth Deist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538883426 PECOS PAC ID: 9931541596 Enrollment ID: I20240528002927 |
| Provider Name | Michele Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538584941 PECOS PAC ID: 9537601828 Enrollment ID: I20240531003739 |
| Provider Name | Farah Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639325442 PECOS PAC ID: 3476697715 Enrollment ID: I20240715003915 |
| Provider Name | Karen Ann Korman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447773874 PECOS PAC ID: 4284172404 Enrollment ID: I20240819001914 |
| Provider Name | Jarrett Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396560785 PECOS PAC ID: 5092242065 Enrollment ID: I20250102003707 |
| Provider Name | Karenton Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831675636 PECOS PAC ID: 1254670763 Enrollment ID: I20250128000129 |
| Provider Name | Elizabeth Barnett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790222032 PECOS PAC ID: 3870017874 Enrollment ID: I20250411001561 |
| Provider Name | Neal Howard Blumenkehl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952105926 PECOS PAC ID: 1355865296 Enrollment ID: I20250411002531 |
| Provider Name | Jennifer Yankanich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598557092 PECOS PAC ID: 9739608092 Enrollment ID: I20250529002246 |
| Provider Name | Katie Carbrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518703214 PECOS PAC ID: 6608386776 Enrollment ID: I20250609000191 |
Mental Health Partnerships Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Chestnut Street, Upper Darby, PA 19082 Phone: 215-751-1800 Fax: 215-636-6300 | |
Family Aid Network Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8045 W Chester Pike, Upper Darby, PA 19082 Phone: 267-230-1753 | |
M&i Homecare And Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Long Ln, Upper Darby, PA 19082 Phone: 267-688-3228 | |
Pettaway Pursuit Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7408 W Chester Pike, Upper Darby, PA 19082 Phone: 610-553-5481 Fax: 610-553-5482 | |
Omni Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6930 Market St Fl 2, Upper Darby, PA 19082 Phone: 484-469-4319 | |
Mental Health Partnerships Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Chestnut Street, Upper Darby, PA 19082 Phone: 215-751-1800 Fax: 215-636-6300 | |
Omni Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6930 Market St Fl 2, Upper Darby, PA 19082 Phone: 215-997-2000 |