DR. SYED T. IBRAHIM (NPI# 1447346127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447346127 |
| Entity Type | Individual |
| Full Name | DR. SYED T. IBRAHIM |
| Credential | MD |
| Practice Address |
420 S Jackson St Pottsville PA 17901-3625 |
| Mailing Address |
2407 Cambridge Cir Hatfield PA 19440-1491 |
| Practice Telephone | 5706215500 |
| Practice Fax Number | 5706215077 |
| Mailing Telephone | 5706215500 |
| Mailing Fax Number | 5706215077 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD444758 | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
222749 | NY | Allopathic & Osteopathic Physicians |
| N | 204R00000X | Electrodiagnostic Medicine | MD444758 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02499585 | 05 |
| Street Address |
420 S JACKSON ST |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804511 | Glen A Marino | Neuromusculoskeletal Medicine & OMM | 420 S Jackson St, Pottsville, PA 17901-3625 | 2005-07-08 |
| 1821617150 | Rebecca Verderame | Occupational Therapist | 420 S Jackson St, Pottsville, PA 17901-3625 | 2020-04-16 |
| 1396309357 | Kaila D Muser | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2019-04-25 |
| 1649748385 | Leeann Mcdermott | Registered Nurse | 420 S Jackson St, Pottsville, PA 17901-3625 | 2018-11-12 |
| 1760922769 | Amy Strauss | Nurse Practitioner | 420 S Jackson St, Pottsville, PA 17901-3625 | 2017-02-24 |
| 1235514845 | Pottsville Medical Services, LLC | Emergency Medicine | 420 S Jackson St, Pottsville, PA 17901-3625 | 2015-07-24 |
| 1730566498 | Ashlee Moore | Speech-Language Pathologist | 420 S Jackson St, Pottsville, PA 17901-3625 | 2015-05-01 |
| 1457741985 | Patti Ann Dasilva | Nurse Practitioner | 420 S Jackson St, Pottsville, PA 17901-3625 | 2015-02-04 |
| 1760804512 | Colleen Margaret Lizewski | Physician Assistant | 420 S Jackson St, Pottsville, PA 17901-3625 | 2014-01-14 |
| 1164767034 | Karen L Vigoda | Social Worker | 420 S Jackson St, 5th Floor, Pottsville, PA 17901-3625 | 2012-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| 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 |
|---|---|---|---|---|
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1932246980 | Samuel Garloff | Psychiatry & Neurology | 16 S. Centre St, Pottsville, PA 17901-2910 | 2007-01-31 |
| 1750359964 | Uchenna Uzoukwu | Psychiatry & Neurology | 121 Progress Ave Fl 2, Pottsville, PA 17901-2968 | 2006-03-14 |
| 1235123928 | Pamela Louise Leib | Psychiatry & Neurology | 118 Mahantongo St, Pottsville, PA 17901-3009 | 2005-09-08 |
| 1801436456 | Jessica Lynn Stives | Psychiatry & Neurology | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2020-01-12 |
| 1417278185 | Jeannie Collins Lawrence | Psychiatry & Neurology | 210 S Centre St, Pottsville, PA 17901-3501 | 2010-06-17 |
| 1811032253 | Uchenna Uzoukwu, Md LLC | Psychiatry & Neurology | 121 Progress Ave Fl 2, Pottsville, PA 17901-2968 | 2007-02-21 |
| 1215005582 | Scott Michael Stevens | Psychiatry & Neurology | 16-18 S Centre St, Pottsville, PA 17901-3001 | 2006-12-02 |
| 1164598512 | Babar Murtaza Choudhry | Psychiatry & Neurology | 420 S Jackson St, Pottsville, PA 17901-3625 | 2006-11-28 |
| 1770594582 | Choudhry B.m. and Associates, LLC | Psychiatry & Neurology | 420 S Jackson St, Pottsville, PA 17901-3625 | 2006-08-10 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.