| Riddle Psychiatry, Llc | |
|
1570 Mcdaniel Dr West Chester PA 19380-6672 | |
| (484) 444-2151 | |
| (484) 444-2152 |
| Full Name | Riddle Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1570 Mcdaniel Dr, West Chester, Pennsylvania |
| Authorized Official Name and Position | Raman N Gopalakrishnan (PHYSICIAN) |
| Authorized Official Contact | 4844442151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riddle Psychiatry, Llc 1570 Mcdaniel Dr West Chester PA 19380-6672 Ph: (484) 444-2151 | Riddle Psychiatry, Llc 1570 Mcdaniel Dr West Chester PA 19380-6672 Ph: (484) 444-2151 |
| NPI Number | 1265702567 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 0749448728 |
|---|---|
| Medicare Enrollment ID | O20120222000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265702567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD420696 (Pennsylvania) | Primary |
| Provider Name | Joyce V Yablunsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891967485 PECOS PAC ID: 2668541236 Enrollment ID: I20080522000091 |
| Provider Name | Raman N Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982688271 PECOS PAC ID: 6204868607 Enrollment ID: I20080616000743 |
| Provider Name | Marja Elina Mattila-evenden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750552089 PECOS PAC ID: 0749316610 Enrollment ID: I20100331000140 |
| Provider Name | Lauren Marci Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043661325 PECOS PAC ID: 1052606852 Enrollment ID: I20160818000043 |
| Provider Name | Maureen K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518542489 PECOS PAC ID: 5698184174 Enrollment ID: I20210513001297 |
| Provider Name | Erin M Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346810272 PECOS PAC ID: 8022412915 Enrollment ID: I20210816000644 |
| Provider Name | Meredith West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720705122 PECOS PAC ID: 1658744792 Enrollment ID: I20230310000657 |
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