SENIOR BEHAVIORAL HEALTHCARE GROUP INC (NPI# 1497914089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497914089 |
| Entity Type | Organization |
| Organization Name | SENIOR BEHAVIORAL HEALTHCARE GROUP INC |
| Practice Address |
25 Llanfair Cir Ardmore PA 19003-3342 |
| Practice Telephone | 6106496769 |
| Practice Fax Number | 6106494190 |
| Mailing Telephone | 6106496769 |
| Mailing Fax Number | 6106494190 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MANULYN CITRON (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6106496769 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
25 LLANFAIR CIR |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013930221 | Senior Behavioral Healthcare Group, Inc | Psychologist | 25 Llanfair Cir, Ardmore, PA 19003-3342 | 2006-07-26 |
| 1790890945 | Sarah Louise Olsheski | Social Worker | 25 Llanfair Cir, Ardmore, PA 19003-3342 | 2006-08-20 |
| 1184739377 | Adrienne Fox-miniman | Licensed Practical Nurse | 25 Llanfair Cir, Ardmore, PA 19003-3342 | 2006-08-20 |
| 1740395847 | Manulyn Citron | Psychologist | 25 Llanfair Cir, Ardmore, PA 19003-3342 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013930221 | Senior Behavioral Healthcare Group, Inc | Psychologist | 25 Llanfair Cir, Ardmore, PA 19003-3342 | 2006-07-26 |
| 1740395847 | Manulyn Citron | Psychologist | 25 Llanfair Cir, Ardmore, PA 19003-3342 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416959 | Ronald Dean | Psychologist | 1706 Golden Mile Road, Wysox, PA 18854-7708 | 2020-10-29 |
| 1215594460 | Neil Patrick Jones | Psychologist | 121 Meyran Ave Bldg Rm323, Pittsburgh, PA 15213-3308 | 2019-05-23 |
| 1962981860 | Ocd Spectrum, Inc | Psychologist | 307 4th Ave Ste 1100, Pittsburgh, PA 15222-2107 | 2018-08-10 |
| 1588143770 | Troy Psychological Services, Pllc | Psychologist | 122 Elmira St., Suite B, Troy, PA 16947-1202 | 2018-08-09 |
| 1326540592 | Julia West Phd LLC | Psychologist | 1005 Brookside Rd Ste 130, Allentown, PA 18106-9023 | 2018-03-05 |
| 1053848580 | Ronald Daniels | Psychologist | 2570 Terraced Hill Ct, Pottstown, PA 19464-3146 | 2017-05-15 |
| 1376088591 | Diane Jarin | Psychologist | 1528 Montgomery Ave, Bryn Mawr, PA 19010-1658 | 2016-12-23 |
| 1427412170 | James M Mcfalls | Psychologist | 212 Idris Rd, C-2, Merion Station, PA 19066-1633 | 2016-04-08 |
| 1598134231 | Lidia Estrada Cordero | Psychologist | 2817 Fairview St, Bethlehem, PA 18020-5505 | 2015-09-23 |
| 1568841187 | Elizabeth Turner Stinson | Psychologist | 37 S. Clinton St., Doylestown, PA 18901 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SENIOR BEHAVIORAL HEALTHCARE GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.