| Psych-med Associates Inc | |
|
2616 Wilmington Road New Castle PA 16105-1504 | |
| (724) 652-2323 | |
| (724) 654-3461 |
| Full Name | Psych-med Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2616 Wilmington Road, New Castle, Pennsylvania |
| Authorized Official Name and Position | Mark A Matta (OWNER) |
| Authorized Official Contact | 7246522323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych-med Associates Inc 2616 Wilmington Road New Castle PA 16105-1504 Ph: (724) 652-2323 | Psych-med Associates Inc 2616 Wilmington Road New Castle PA 16105-1504 Ph: (724) 652-2323 |
| NPI Number | 1275744088 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 12/07/2012 |
| Medicare PECOS PAC ID | 4486691052 |
|---|---|
| Medicare Enrollment ID | O20050414000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275744088 | NPI | - | NPPES |
| 952086 | Other | PA | BCBS PA TRADITIONAL |
| 1312782 | Other | PA | BCBS PA BEHAVIORAL HEALTH |
| 0015112670001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Georgia Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770687097 PECOS PAC ID: 6406897255 Enrollment ID: I20050523000033 |
| Provider Name | Terri L Sharo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699747204 PECOS PAC ID: 5092735159 Enrollment ID: I20051205000069 |
| Provider Name | Mark Ayad Matta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245424084 PECOS PAC ID: 3577658988 Enrollment ID: I20071001000251 |
| Provider Name | Jonathan F Fellion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669790168 PECOS PAC ID: 2860655784 Enrollment ID: I20120511000468 |
| Provider Name | Shelby K Hites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316373491 PECOS PAC ID: 4284867458 Enrollment ID: I20140424001055 |
| Provider Name | Lisa Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093472953 PECOS PAC ID: 3173915105 Enrollment ID: I20220124002363 |
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