DR. RODNEY J. PELCHAT (NPI# 1952315855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952315855 |
| Entity Type | Individual |
| Full Name | DR. RODNEY J. PELCHAT |
| Credential | M.D. |
| Practice Address |
833 Chestnut St Suite 210 Phila PA 19107-4414 |
| Practice Telephone | 2155031239 |
| Practice Fax Number | 2159238219 |
| Mailing Telephone | 2155031239 |
| Mailing Fax Number | 2159238219 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD043493E | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD043493E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD OF PA | PE466345 | 01 |
| Street Address |
833 CHESTNUT ST SUITE 210 |
| City | PHILA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629257746 | Krystal Renee Stober | Psychologist | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-10-25 |
| 1295955896 | Nancy Patten | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-04-26 |
| 1962622407 | Ruth Frank | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-04-26 |
| 1902994346 | Harris Rabinovich | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-10-11 |
| 1598777088 | Pamela R Kasinetz | Social Worker | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-08-12 |
| 1407865298 | Zhabiz Kazeminezhad | Psychiatry & Neurology | 833 Chestnut St, Suite210, Phila, PA 19107-4414 | 2006-08-08 |
| 1922014034 | Barry W. Rovner | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-31 |
| 1518971290 | Michael J. Vergare | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-28 |
| 1962416651 | Kenneth M. Certa | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-28 |
| 1215950357 | Ronald David Serota | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
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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.