GARG BEHAVIORAL HEALTH, PC


Address: 702 Autumn River Run, Philadelphia, PA 19128-4359
Phone: 2156655618

GARG BEHAVIORAL HEALTH, PC (NPI# 1679814891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679814891
Entity Type Organization
Organization Name GARG BEHAVIORAL HEALTH, PC
Practice Address 702 Autumn River Run
Philadelphia
PA 19128-4359
Mailing Address 1500 Market St
12th Floor
Philadelphia
PA 19102-2100
Practice Telephone 2156655618
Enumeration Date 2013-03-13
Last Update Date 2013-03-13
Authorized Official Name NICK S GARG (PRESIDENT)
Authorized Official Telephone 2156655618
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
MD420117 PA Behavioral Health & Social Service Providers

Office Location

Street Address 702 AUTUMN RIVER RUN
City PHILADELPHIA
State PA
Zip Code 19128-4359

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851877179 Andrew Mermelstein Podiatrist 5800 Roxborough Avenue, Philadelphia, PA 19128 2018-07-19
1811499361 Ursula Wacyk Social Worker 6122 Ridge Avenue, Philadelphia, PW 19128 2018-03-01
1417478454 Chelsea Lynn Roberts Physician Assistant 707 Autumn River Run, Philadelphia, PA 19128 2017-06-29
1174060503 Melody Ann Piranian Nurse Practitioner Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 2017-01-24
1154874410 Meghan Smith Pharmacist 5927-59 Ridge Ave, Philadelphia, PA 19128 2016-08-03
1356797880 Jenna Angelo Registered Nurse 457 Spring Lane, Philadelphia, PA 19128 2016-05-13
1689049843 Newcourtland Senior Centers Clinic/Center 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 2015-12-14
1235519331 Merin Wexler Social Worker 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 2015-06-03
1457754335 Sarah De Simone Specialist/Technologist 318 Fountain Street, Philadelphia, PA 19128 2014-10-06
1609280049 Sylvia Russianoff Counselor 128 Rochelle Avenue, Philadelphia, PA 19128 2014-06-13
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

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NPI Name Taxonomy Address Enumeration
1174735518 Nemesia G. Castro Psychologist 4301 Rising Sun Ave, Philadelphia, PA 19140-2719 2007-05-06
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1518155233 David L Buch Md PC Psychologist 822 Pine St, Suite 1a, Philadelphia, PA 19107-6187 2007-10-09
1720200926 Richard Alan Mufson Psychologist 4519 N 5th St, Philadelphia, PA 19140-2309 2007-05-03
1669690905 Mark Moore Psychologist 230 W Washington Sq, 2nd Floor, Philadelphia, PA 19106-3500 2007-04-23

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NPI Name Taxonomy Address Enumeration
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1871868240 William Patrick Fowler Psychologist 190 Presidential Blvd Unit 510, Bala Cynwyd, PA 19004-1159 2012-03-18
1053649178 Second Haven Services for Youth Inc. Psychologist 633 Lakeside Dr, Tobyhanna, PA 18466-9792 2009-12-01
1831311687 Feliks Shapiro Psychologist 1631 Rockcress Dr, Jamison, PA 18929-1646 2007-05-02
1497973911 Judith Temple Jackson Psychologist 125 Coulter Ave, Floor 2, Ardmore, PA 19003-2410 2007-04-22
1457740797 The Center for Allied Psychiatry & Psychology Services Psychologist 404 E High St, Pottstown, PA 19464-5622 2015-01-09
1114253770 Bbh, LLC Psychologist 70 2nd St, Brookville, PA 15825-1556 2009-11-02
1902057045 Baron T. Denniston M.d. Psychologist 150 E 8th St, Erie, PA 16501-1269 2008-10-07
1174773451 Charles P. Gallo Psychologist 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146-3540 2008-09-24
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Competitor

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City PHILADELPHIA
Zip Code 19128

Improve Information

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Dataset Information

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.

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