| Springfield Behavioral of Pennsylvania | |
|
1420 Walnut St Ste 802 Philadelphia PA 19102-4008 | |
| (610) 544-2110 | |
| Not Available |
| Full Name | Springfield Behavioral of Pennsylvania |
|---|---|
| Speciality | Psychologist |
| Location | 1420 Walnut St Ste 802, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Amanda Bronson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Behavioral of Pennsylvania 67 Burnside Ave East Hartford CT 06108-3408 Ph: (952) 246-4564 | Springfield Behavioral of Pennsylvania 1420 Walnut St Ste 802 Philadelphia PA 19102-4008 Ph: (610) 544-2110 |
| NPI Number | 1811778988 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 9436502879 |
|---|---|
| Medicare Enrollment ID | O20240403001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811778988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | () | Primary |
| Provider Name | Grant Strine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316969652 PECOS PAC ID: 1850387432 Enrollment ID: I20040421000095 |
| Provider Name | Stephanie J Wingate-gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881890762 PECOS PAC ID: 3678550944 Enrollment ID: I20040706000120 |
| Provider Name | Marina Jean Cooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982683207 PECOS PAC ID: 6406823160 Enrollment ID: I20040913000611 |
| Provider Name | Joel B Capucao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972639334 PECOS PAC ID: 8224932116 Enrollment ID: I20050201000275 |
| Provider Name | Richard L Jaffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962448167 PECOS PAC ID: 2961446182 Enrollment ID: I20050617000336 |
| Provider Name | Adam Guss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922069442 PECOS PAC ID: 4284668252 Enrollment ID: I20050920000998 |
| Provider Name | Peggy Backal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093818080 PECOS PAC ID: 5092717330 Enrollment ID: I20070215000278 |
| Provider Name | Stephanie Mcmullan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023210697 PECOS PAC ID: 9931200664 Enrollment ID: I20070725000613 |
| Provider Name | Ushama Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154447738 PECOS PAC ID: 5597830364 Enrollment ID: I20080814000079 |
| Provider Name | Beverly P White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952540221 PECOS PAC ID: 8527112366 Enrollment ID: I20090813000553 |
| Provider Name | Nathaniel S Prentice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013158708 PECOS PAC ID: 8628124211 Enrollment ID: I20090923000538 |
| Provider Name | Heather Callaghan-walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538253547 PECOS PAC ID: 8820271950 Enrollment ID: I20110325000749 |
| Provider Name | Kyle Burnell Holsinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457445470 PECOS PAC ID: 9537218243 Enrollment ID: I20110401000561 |
| Provider Name | Ann E Steel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912009713 PECOS PAC ID: 4981880382 Enrollment ID: I20110519000652 |
| Provider Name | Jennifer L Bramson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972510337 PECOS PAC ID: 8820011083 Enrollment ID: I20110525000392 |
| Provider Name | Allyson L Galloway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033131339 PECOS PAC ID: 3072763242 Enrollment ID: I20121024000342 |
| Provider Name | Bettina Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952311987 PECOS PAC ID: 3678583655 Enrollment ID: I20121113000095 |
| Provider Name | Adina Sandman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639403116 PECOS PAC ID: 5092968404 Enrollment ID: I20130116000132 |
| Provider Name | Sara K Salib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588813091 PECOS PAC ID: 1850544008 Enrollment ID: I20130122000035 |
| Provider Name | Deniz Eker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635068 PECOS PAC ID: 5294637880 Enrollment ID: I20130925000599 |
| Provider Name | Catherine James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043645849 PECOS PAC ID: 6204064579 Enrollment ID: I20140113000696 |
| Provider Name | Jacqueline Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093837817 PECOS PAC ID: 7719109867 Enrollment ID: I20141105002074 |
| Provider Name | Joanne E Morth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790189124 PECOS PAC ID: 1658693437 Enrollment ID: I20141205000440 |
| Provider Name | Robert S Katof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659355147 PECOS PAC ID: 6406174044 Enrollment ID: I20150413000212 |
| Provider Name | Judith Frankel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649378043 PECOS PAC ID: 6709105067 Enrollment ID: I20150507002212 |
| Provider Name | Reginal G Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568422897 PECOS PAC ID: 5092036277 Enrollment ID: I20150601001721 |
| Provider Name | Scott a Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346259827 PECOS PAC ID: 6507167178 Enrollment ID: I20151228000461 |
| Provider Name | Rachele Lemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376645242 PECOS PAC ID: 2769785062 Enrollment ID: I20160120001861 |
| Provider Name | Adam Lemisch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528081973 PECOS PAC ID: 0143512764 Enrollment ID: I20160630000122 |
| Provider Name | Wendy Lam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992240436 PECOS PAC ID: 9234413105 Enrollment ID: I20170222000269 |
| Provider Name | Nancy Deangelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013469238 PECOS PAC ID: 4082998448 Enrollment ID: I20170302000701 |
| Provider Name | Stephanie a Helms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871029769 PECOS PAC ID: 5698043701 Enrollment ID: I20170614001000 |
| Provider Name | Stephanie C Maier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730627753 PECOS PAC ID: 1850657255 Enrollment ID: I20171116002583 |
| Provider Name | Colleen D Cullen-swayze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275692758 PECOS PAC ID: 4587922786 Enrollment ID: I20171218000072 |
| Provider Name | Deborah Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013420587 PECOS PAC ID: 8224396346 Enrollment ID: I20171219002465 |
| Provider Name | Laura Russo Innamorato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003900044 PECOS PAC ID: 2668655796 Enrollment ID: I20180226000747 |
| Provider Name | David Pezzeca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962830208 PECOS PAC ID: 8921362484 Enrollment ID: I20180509000354 |
| Provider Name | Nikita K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316246556 PECOS PAC ID: 8527312354 Enrollment ID: I20181114003034 |
| Provider Name | John L Durland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407322365 PECOS PAC ID: 5890039010 Enrollment ID: I20181129000152 |
| Provider Name | Emily J Chappel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255816328 PECOS PAC ID: 6800132630 Enrollment ID: I20190115001867 |
| Provider Name | Varsha Godambe-jain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023581550 PECOS PAC ID: 2860730488 Enrollment ID: I20190206002135 |
| Provider Name | Ashlyn Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619432309 PECOS PAC ID: 6901146414 Enrollment ID: I20190320001506 |
| Provider Name | Jane Zakrzewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902364615 PECOS PAC ID: 5092057307 Enrollment ID: I20190506002403 |
| Provider Name | Holly L Grishkat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982826269 PECOS PAC ID: 9931439866 Enrollment ID: I20190919001107 |
| Provider Name | Nicole L Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104389311 PECOS PAC ID: 0749614501 Enrollment ID: I20200102002171 |
| Provider Name | Lee R Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194375204 PECOS PAC ID: 3678909389 Enrollment ID: I20200128002258 |
| Provider Name | Melissa Lombardi Parada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164811287 PECOS PAC ID: 1557791100 Enrollment ID: I20200422000728 |
| Provider Name | Julie Furst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548655327 PECOS PAC ID: 4981952553 Enrollment ID: I20200430000315 |
| Provider Name | Matthew Aaron Brigle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952950800 PECOS PAC ID: 9032534086 Enrollment ID: I20201014000062 |
| Provider Name | Martina Majella Sobolesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669099719 PECOS PAC ID: 5395158935 Enrollment ID: I20201229000064 |
| Provider Name | Daniel Scullington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215468962 PECOS PAC ID: 5294140521 Enrollment ID: I20210219000941 |
| Provider Name | Alicia Hurford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568038685 PECOS PAC ID: 4284034448 Enrollment ID: I20210610001172 |
| Provider Name | Yvonne Judge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164933446 PECOS PAC ID: 8628471844 Enrollment ID: I20210727000013 |
| Provider Name | Bryan Gottlieb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043881063 PECOS PAC ID: 1557766110 Enrollment ID: I20210819001070 |
| Provider Name | Teresa Mathew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730627951 PECOS PAC ID: 3375949399 Enrollment ID: I20210831000373 |
| Provider Name | Kari a Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114458353 PECOS PAC ID: 3870983281 Enrollment ID: I20211129001338 |
| Provider Name | Mary Schooff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841318201 PECOS PAC ID: 0547168155 Enrollment ID: I20211215002801 |
| Provider Name | Ginamarie Dattilo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497902829 PECOS PAC ID: 1355401530 Enrollment ID: I20220301001099 |
| Provider Name | Michele Merdinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093347866 PECOS PAC ID: 9436544699 Enrollment ID: I20220325000021 |
| Provider Name | Trisha Ruffalo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558900092 PECOS PAC ID: 1153702782 Enrollment ID: I20220713004259 |
| Provider Name | Tajshana Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912479502 PECOS PAC ID: 0244607869 Enrollment ID: I20221110000486 |
| Provider Name | Brad Edward Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902956527 PECOS PAC ID: 6800267485 Enrollment ID: I20230118000738 |
| Provider Name | Carolyn Newton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073967659 PECOS PAC ID: 8820469224 Enrollment ID: I20230123001484 |
| Provider Name | Terry Lee Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215109285 PECOS PAC ID: 2961874557 Enrollment ID: I20230208000398 |
| Provider Name | Ellen Inverso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235841446 PECOS PAC ID: 2264804715 Enrollment ID: I20230208003184 |
| Provider Name | Breanne Christian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982965117 PECOS PAC ID: 0345576013 Enrollment ID: I20230330002667 |
| Provider Name | Thomas Patrick Fowkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083095533 PECOS PAC ID: 7719344654 Enrollment ID: I20230607002404 |
| Provider Name | Julie Matsen Devitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487157921 PECOS PAC ID: 1355730219 Enrollment ID: I20230704000167 |
| Provider Name | Maggie L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619605011 PECOS PAC ID: 2769843267 Enrollment ID: I20230801000040 |
| Provider Name | Jayna Alexandra Burleigh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851016216 PECOS PAC ID: 3577925486 Enrollment ID: I20230809002297 |
| Provider Name | Elizabeth S Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598998064 PECOS PAC ID: 8921460528 Enrollment ID: I20230814003563 |
| Provider Name | Sarah Rose Dunleavy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942623673 PECOS PAC ID: 5395108385 Enrollment ID: I20230823003300 |
| Provider Name | Patrick William Mcguffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154606283 PECOS PAC ID: 6709246333 Enrollment ID: I20230911001590 |
| Provider Name | William Daniel Mcandrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902156466 PECOS PAC ID: 1658735345 Enrollment ID: I20230913003827 |
| Provider Name | Elizabeth Ann Ringler-jayanthan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366957094 PECOS PAC ID: 7012360944 Enrollment ID: I20240126003954 |
| Provider Name | Sebastian Rimehaug |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073381844 PECOS PAC ID: 0941643746 Enrollment ID: I20240208002786 |
| Provider Name | Kimberly P Rotfeld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528753555 PECOS PAC ID: 8426402009 Enrollment ID: I20240320003117 |
| Provider Name | Katherine Cheng Gao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922627140 PECOS PAC ID: 1153742895 Enrollment ID: I20240918003699 |
| Provider Name | Kristina Erika Malley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053802181 PECOS PAC ID: 4981145869 Enrollment ID: I20240918003809 |
| Provider Name | Kevin Hawk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861004574 PECOS PAC ID: 5698216521 Enrollment ID: I20240919000694 |
| Provider Name | Caren Boukalis Cisse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285350827 PECOS PAC ID: 3870024078 Enrollment ID: I20240929000031 |
| Provider Name | Nicole Capone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043556319 PECOS PAC ID: 9830620939 Enrollment ID: I20240930003768 |
| Provider Name | Wendy Lee Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437835345 PECOS PAC ID: 7012448012 Enrollment ID: I20241001003595 |
| Provider Name | Megan Liane Carina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154190833 PECOS PAC ID: 0143751180 Enrollment ID: I20241002000552 |
| Provider Name | Erin K Kowey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124518493 PECOS PAC ID: 1254862170 Enrollment ID: I20241003000107 |
| Provider Name | Kaitlyn Ashley Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770198350 PECOS PAC ID: 5991236838 Enrollment ID: I20241003000902 |
| Provider Name | Nicholle R Charles-pierre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497943120 PECOS PAC ID: 4082146378 Enrollment ID: I20241010003968 |
| Provider Name | Luca Somorjai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538777057 PECOS PAC ID: 4284166703 Enrollment ID: I20241022000929 |
| Provider Name | Marjorie Gedney Vandemark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487078432 PECOS PAC ID: 9830621358 Enrollment ID: I20241022001512 |
| Provider Name | Alexandrea Scirrotto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295450435 PECOS PAC ID: 4688107170 Enrollment ID: I20241022004589 |
| Provider Name | Traci Anne Lordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831799733 PECOS PAC ID: 4880127307 Enrollment ID: I20241023000376 |
| Provider Name | David Seth Trebich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578587580 PECOS PAC ID: 5294268728 Enrollment ID: I20241023000566 |
| Provider Name | Rachael Lowery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891457990 PECOS PAC ID: 5395278717 Enrollment ID: I20241023004519 |
| Provider Name | Grace Clements |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568160851 PECOS PAC ID: 8325571482 Enrollment ID: I20241028002083 |
| Provider Name | Melissa Ellen Pomerantz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972292548 PECOS PAC ID: 7517490634 Enrollment ID: I20241029000919 |
| Provider Name | Adrienne M Maimone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588980668 PECOS PAC ID: 9335672476 Enrollment ID: I20241029001429 |
| Provider Name | Jennifer Anne Naspinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477225092 PECOS PAC ID: 9830623883 Enrollment ID: I20241113001740 |
| Provider Name | Jordan Olivia Seidel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689305849 PECOS PAC ID: 1557896263 Enrollment ID: I20241118003720 |
| Provider Name | Elizabeth Ventre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639839483 PECOS PAC ID: 9830624238 Enrollment ID: I20241121003671 |
| Provider Name | Shannon Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093447765 PECOS PAC ID: 7214462407 Enrollment ID: I20241125002682 |
| Provider Name | Lydia Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164263331 PECOS PAC ID: 1355876582 Enrollment ID: I20241126000380 |
| Provider Name | Amanda Brianne Chamberlain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649908807 PECOS PAC ID: 6709311848 Enrollment ID: I20241126000882 |
| Provider Name | Sally Reeves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003040015 PECOS PAC ID: 9638436215 Enrollment ID: I20241126001272 |
| Provider Name | Francis Yaeger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407230402 PECOS PAC ID: 0840725909 Enrollment ID: I20241126002133 |
| Provider Name | Jennifer Burrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730780982 PECOS PAC ID: 9931507662 Enrollment ID: I20241126004503 |
| Provider Name | Rebecca Gouck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508513904 PECOS PAC ID: 8426583543 Enrollment ID: I20241126004520 |
| Provider Name | Sarah Lynn Boward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962093013 PECOS PAC ID: 0345776209 Enrollment ID: I20241216002214 |
| Provider Name | Stephanie Anna Kochersperger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639811193 PECOS PAC ID: 7719414622 Enrollment ID: I20241217000643 |
| Provider Name | Whitney Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487234720 PECOS PAC ID: 9537696448 Enrollment ID: I20241217000656 |
| Provider Name | Nina Alexandra Judd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790408649 PECOS PAC ID: 2961939871 Enrollment ID: I20241217000794 |
| Provider Name | Justin Aaron Cipkala-gaffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669863817 PECOS PAC ID: 7113454026 Enrollment ID: I20241217000899 |
| Provider Name | Celeste Suzann Cantees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356940910 PECOS PAC ID: 5092235366 Enrollment ID: I20250218001564 |
| Provider Name | Maria Emma Francisco Solon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710093323 PECOS PAC ID: 9739601857 Enrollment ID: I20250318003671 |
| Provider Name | Ashley Marie Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023710464 PECOS PAC ID: 6800305152 Enrollment ID: I20250529004062 |
| Provider Name | Kandace Denaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306571336 PECOS PAC ID: 8123539681 Enrollment ID: I20250612003537 |
| Provider Name | Joshua Schmader |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174132609 PECOS PAC ID: 7517478944 Enrollment ID: I20250613000810 |
| Provider Name | Courtney Whitenight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316308281 PECOS PAC ID: 1850802208 Enrollment ID: I20250613001371 |
| Provider Name | Rebecca Ketterer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851821078 PECOS PAC ID: 5799296075 Enrollment ID: I20250613002238 |
| Provider Name | Adam Oshnock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801075551 PECOS PAC ID: 1658882543 Enrollment ID: I20250617003661 |
| Provider Name | Ashley Walters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174215917 PECOS PAC ID: 0840701686 Enrollment ID: I20250618000460 |
| Provider Name | Brianna Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104699131 PECOS PAC ID: 5698287977 Enrollment ID: I20250623002862 |
| Provider Name | Lorene Peta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619253812 PECOS PAC ID: 2365954443 Enrollment ID: I20250624003492 |
| Provider Name | Kayli Metheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376200105 PECOS PAC ID: 4284146309 Enrollment ID: I20250625000078 |
| Provider Name | Brianna Thero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679978936 PECOS PAC ID: 8729590856 Enrollment ID: I20250625000355 |
| Provider Name | Hillary Englebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518774983 PECOS PAC ID: 4789197930 Enrollment ID: I20250701000826 |
| Provider Name | Tara Dickman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780414730 PECOS PAC ID: 5698288785 Enrollment ID: I20250701004223 |
| Provider Name | Dana Matheson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841348307 PECOS PAC ID: 7810400934 Enrollment ID: I20250701004840 |
| Provider Name | Autumn Mcbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063184000 PECOS PAC ID: 6709399629 Enrollment ID: I20250702002084 |
| Provider Name | Elise Klavon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487424248 PECOS PAC ID: 5890208698 Enrollment ID: I20250702004425 |
| Provider Name | Tamika Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639924194 PECOS PAC ID: 9032622832 Enrollment ID: I20250702004505 |
| Provider Name | Wendy Napoleon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932616885 PECOS PAC ID: 7315451796 Enrollment ID: I20250708003402 |
| Provider Name | Melinda Millan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326382045 PECOS PAC ID: 5496260176 Enrollment ID: I20250711003196 |
| Provider Name | Lisa Kasmari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023323722 PECOS PAC ID: 0941717300 Enrollment ID: I20250730000464 |
| Provider Name | Howard Hansell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336790385 PECOS PAC ID: 1557861390 Enrollment ID: I20250825004275 |
| Provider Name | Jennifer Stout-middlecamp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023378957 PECOS PAC ID: 6709381486 Enrollment ID: I20250924001509 |
| Provider Name | Christian Dozier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376288084 PECOS PAC ID: 2567967243 Enrollment ID: I20250924001619 |
| Provider Name | Ann Marie O'reilly-gindhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699075507 PECOS PAC ID: 1658877345 Enrollment ID: I20251001003297 |
| Provider Name | Nancy Hill Wildrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760712640 PECOS PAC ID: 6901302900 Enrollment ID: I20251006003810 |
| Provider Name | Maura Burke Marchese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710592464 PECOS PAC ID: 6709372550 Enrollment ID: I20251231000795 |
| Provider Name | Andrea a Charlesworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376833962 PECOS PAC ID: 5698252914 Enrollment ID: I20260116002431 |
| Provider Name | Victoria Staiano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548869019 PECOS PAC ID: 4486134350 Enrollment ID: I20260219000474 |
| Provider Name | Nadine M Cramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750423109 PECOS PAC ID: 2961983739 Enrollment ID: I20260220000532 |
| Provider Name | Chinell Z Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962917369 PECOS PAC ID: 9830673730 Enrollment ID: I20260318003794 |
| Provider Name | Joseph Violi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033701685 PECOS PAC ID: 0547744138 Enrollment ID: I20260321000003 |
| Provider Name | Rukisha Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437770989 PECOS PAC ID: 0941614531 Enrollment ID: I20260321000038 |
| Provider Name | Rachel Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114728961 PECOS PAC ID: 3072080720 Enrollment ID: I20260430000407 |
| Provider Name | Elizan Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649820069 PECOS PAC ID: 5991178980 Enrollment ID: I20260514000137 |
| Provider Name | Sarah Rebecca Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639972045 PECOS PAC ID: 4587133368 Enrollment ID: I20260521001395 |
| Provider Name | Zeal Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124544267 PECOS PAC ID: 5395216675 Enrollment ID: I20260608002439 |
| Provider Name | Ginny Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346496882 PECOS PAC ID: 7618119330 Enrollment ID: I20260622001698 |
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 |
Apm Mental Health Psychiatric Outpatient Clinics Mental Health Clinic Medicare: Medicare Enrolled 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 |