VALLEY GEROPSYCH, LLC (NPI# 1588900815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588900815 |
| Entity Type | Organization |
| Organization Name | VALLEY GEROPSYCH, LLC |
| Other Organization Name | ETHOS CLINIC |
| Practice Address |
428 S 7th St Lehighton PA 18235 |
| Mailing Address |
428 S 7th St Lehighton PA 18235-1824 |
| Practice Telephone | 6109004234 |
| Practice Fax Number | 6109004235 |
| Mailing Telephone | 6109004234 |
| Mailing Fax Number | 6109004235 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | DR. RAJA SOHAIL ABBAS (SOLE PROPRIETOR) |
| Authorized Official Telephone | 6109004234 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ethos Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 135 Lafayette Ave, Suite 263, Palmerton, PA 180711518 | 6109004234 | 6109004235 |
| Street Address |
428 S 7TH ST |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346340064 | Kimberly A Otto | Nurse Practitioner | 428 S 7th St, Lehighton, PA 18235-1818 | 2006-09-23 |
| 1093330169 | Elizabeth Schatzman | Physician Assistant | 428 S 7th St, Lehighton, PA 18235-1818 | 2020-06-14 |
| 1235767054 | Zachary D Venable | Social Worker | 428 S 7th St, Lehighton, PA 18235-1818 | 2020-03-28 |
| 1023657483 | Kristyn Elizabeth Walters | Counselor | 428 S 7th St, Lehighton, PA 18235-1818 | 2020-01-03 |
| 1417593906 | Catherine Miller | Social Worker | 428 S 7th St, Lehighton, PA 18235-1818 | 2019-11-20 |
| 1215598560 | Monika Szasz | Counselor | 428 S 7th St, Lehighton, PA 18235-1818 | 2019-06-27 |
| 1669852505 | Marnie Cunningham | Physician Assistant | 428 S 7th St, Lehighton, PA 18235-1818 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253067 | Bijan Etemad | Psychiatry & Neurology | 15 Wistar Rd, Villanova, PA 19085-1512 | 2009-05-21 |
| 1912106667 | Henry Litvin | Psychiatry & Neurology | 134 Cardinal Rd, Jenkintown, PA 19046-3907 | 2007-07-13 |
| 1922188879 | Rona Pasternak | Psychiatry & Neurology | 714 N Ithan Ave, Bryn Mawr, PA 19010-1730 | 2006-10-16 |
| 1083724884 | Levy Psychiatric Associates LLC | Psychiatry & Neurology | 8001 Roosevelt Blvd Suite 100, Philadelphia, PA 19152 | 2006-08-30 |
| 1700895240 | Delaware Valley Behavioral Health, P.C. | Psychiatry & Neurology | 1305 Medford Rd, Wynnewood, PA 19096-2418 | 2006-08-05 |
| 1730196379 | Robert M Rapkin | Psychiatry & Neurology | 1800 Three Mile Run Rd, Perkasie, PA 18944-2027 | 2006-08-02 |
| 1629044292 | Nicholas Tsopelas | Psychiatry & Neurology | 3535 Market Street, 3rd Floor, Philadelphia, PA 19104-2593 | 2006-02-24 |
| 1235119496 | Shivam Hingorani | Psychiatry & Neurology | 2001 Hamilton St, 1528, Philadelphia, PA 19130-4201 | 2006-01-21 |
| 1740278258 | Raul Rodriguez-feo | Psychiatry & Neurology | 132 Walnut St, Johnstown, PA 15901-1621 | 2005-10-10 |
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| Find all providers with the same taxonomy | ||||
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| 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.