COLLEGEVILLE PSYCHOLOGICAL CENTER INC (NPI# 1851305759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851305759 |
| Entity Type | Organization |
| Organization Name | COLLEGEVILLE PSYCHOLOGICAL CENTER INC |
| Practice Address |
3774 Ridge Pike Collegeville PA 19426-3169 |
| Mailing Address |
Po Box 187 Gwynedd Valley PA 19437 |
| Practice Telephone | 6104893330 |
| Practice Fax Number | 6104899390 |
| Mailing Telephone | 6104893330 |
| Mailing Fax Number | 6104899390 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | SAMIR F FARAQ (PRESIDENT MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6104893330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012250080001 | 05 |
| Street Address |
3774 RIDGE PIKE |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426-3169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268317 | M Ihtesham Janjua | Psychiatry & Neurology | 3774 Ridge Pike, Ste 100, Collegeville, PA 19426-3169 | 2006-01-04 |
| 1992059448 | Diana Lynn Mcintyre | Social Worker | 3774 Ridge Pike, Collegeville, PA 19426-3169 | 2012-11-06 |
| 1750640173 | Allison Dana Lopreto | Social Worker | 3774 Ridge Pike, Collegeville, PA 19426-3169 | 2012-05-04 |
| 1821228537 | Andrea Rountree | Social Worker | 3774 Ridge Pike, Collegeville, PA 19426-3169 | 2009-07-16 |
| 1134356520 | Stacy Mason | Behavioral Analyst | 3774 Ridge Pike, Collegeville, PA 19426-3169 | 2009-06-12 |
| 1093934481 | Kathy Ann Patterson | Registered Nurse | 3774 Ridge Pike, Suite 101, Collegeville, PA 19426-3169 | 2007-04-24 |
| 1558487967 | Sandra Kay Karst | Registered Nurse | 3774 Ridge Pike, Suite 101, Collegeville, PA 19426-3169 | 2007-03-21 |
| 1285648329 | Samir F Farag | Psychiatry & Neurology | 3774 Ridge Pike, Suite 101, Collegeville, PA 19426-3169 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268317 | M Ihtesham Janjua | Psychiatry & Neurology | 3774 Ridge Pike, Ste 100, Collegeville, PA 19426-3169 | 2006-01-04 |
| 1285648329 | Samir F Farag | Psychiatry & Neurology | 3774 Ridge Pike, Suite 101, Collegeville, PA 19426-3169 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235663 | Doreen Thomas-payne | Psychiatry & Neurology | 422 Pheasant Ln, Lafayette Hill, PA 19444-1204 | 2020-11-03 |
| 1558961698 | Bierkortte Psychiatric Pllc | Psychiatry & Neurology | 1001 E Elfinwild Rd, Allison Park, PA 15101-3912 | 2020-10-28 |
| 1265031603 | Center for Integrative Psychiatry and Neuromodulation, Plc | Psychiatry & Neurology | 822 Montgomery Ave Ste 208, Narberth, PA 19072-1946 | 2020-10-17 |
| 1518576602 | Kathleen A Lyon, Md PC | Psychiatry & Neurology | 201 Water St Ste 1, Milford, PA 18337-1247 | 2020-07-24 |
| 1588272595 | Ade & Mo LLC | Psychiatry & Neurology | 589 Bethlehem Pike Ste 200, Montgomeryville, PA 18936-9744 | 2020-07-15 |
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1205452760 | Xaler LLC | Psychiatry & Neurology | 4379 Easton Ave # 110, Bethlehem, PA 18020-1483 | 2020-06-22 |
| 1366067464 | Hgmd LLC | Psychiatry & Neurology | 3216 Hemlock Farms, Hawley, PA 18428-9113 | 2020-06-15 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGEVILLE |
| Zip Code | 19426 |
Please comment or provide details below to improve the information on COLLEGEVILLE PSYCHOLOGICAL CENTER 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.