DR. JACK ALAN GOMBERG (NPI# 1114028057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114028057 |
| Entity Type | Individual |
| Full Name | DR. JACK ALAN GOMBERG |
| Credential | M.D. |
| Practice Address |
748 N. Bethlehem Pike Spring House PA 19477-1013 |
| Mailing Address |
16 Breyer Ct Elkins Park PA 19027-1350 |
| Practice Telephone | 2156288585 |
| Practice Fax Number | 2152474404 |
| Mailing Telephone | 2158861335 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD015248E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 000136474 | 01 |
| PA | 000839303 0003 | 05 | |
| PA | AMERIHEALTH | A36474 | 01 |
| Street Address |
748 N. BETHLEHEM PIKE |
| City | SPRING HOUSE |
| State | PA |
| Zip Code | 19477-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743857 | Gurkirt Singh | Dentist | 833 N Bethlehem Pike, Spring House, PA 19477 | 2020-09-01 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| 1841441532 | Mark Pieninck | Occupational Therapist | 712 Penllyn Pike, Spring House, PA 19477 | 2008-10-01 |
| 1043483712 | Fredericka C Tate | Psychiatry & Neurology | 1018 North Bethlehem Pike Suite 200b, Springhouse, PA 19477 | 2008-04-02 |
| 1548443849 | Flo Glynn Stiffler | Marriage & Family Therapist | 921 Bethlehem Pike, Council for Relationships, Springhouse, PA 19477 | 2007-12-10 |
| 1851500185 | Jayson M Dupre | Internal Medicine | 1108 North Bethlehem Pike, Second Floor, Spring House, PA 19477 | 2007-05-22 |
| 1205041324 | John L. Manni | Psychologist | 809 Bethlehem Pike, Box 129, Spring House, PA 19477 | 2007-05-11 |
| 1295948271 | Dana Harbison | Acupuncturist | 1000 N Bethlehem Pike Suite 117, Spring House, PA 19477 | 2007-05-07 |
| 1548472368 | Norman Graulich, Dmd, PC | Dentist | 1024 Bethlehem Pike, Suite 101, Spring House, PA 19477 | 2007-05-04 |
| Find all providers in zip 19477 | ||||
| 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 |
|---|---|---|---|---|
| 1225219348 | Gomberg Psychiatric Associates, Inc. | Psychiatry & Neurology | 748 N Bethlehem Pike, Spring House, PA 19477-1013 | 2007-11-16 |
| 1548390347 | Barry Kenneth Nelson | Psychiatry & Neurology | 809 North Bethlehem Pike, Spring House, PA 19477 | 2007-03-07 |
| 1518900281 | Pragna P. Patel | Psychiatry & Neurology | 1012 N. Bethlehem Pike, Suite I, Spring House, PA 19477 | 2006-06-13 |
| 1063501203 | Pragna P Patel, Md PC | Psychiatry & Neurology | 1012 N. Bethlehem Pike, Suite I, Spring House, PA 19477 | 2006-10-12 |
| 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 | SPRING HOUSE |
| Zip Code | 19477 |
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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.