DR. KENNETH M. CERTA (NPI# 1962416651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962416651 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M. CERTA |
| Credential | M.D. |
| Practice Address |
833 Chestnut St Suite 210 Phila PA 19107-4414 |
| Practice Telephone | 2159556655 |
| Practice Fax Number | 2159238219 |
| Mailing Telephone | 2159556655 |
| Mailing Fax Number | 2159238219 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD024309E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD OF PA | CE416500 | 01 |
| PA | 0009959520007 | 05 | |
| RR MEDICARE | 260038235 | 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 |
| 1952315855 | Rodney J. Pelchat | 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 |
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| 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 |
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| 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 |
|---|---|---|---|---|
| 1710176953 | Daniel Alexander Monti | Psychiatry & Neurology | 111 S 11th Street, Suite 6215 Gibbon Bldg Tjuh, Phila, PA 19107 | 2007-10-23 |
| 1699975722 | Stanford Mark Steinberg | Psychiatry & Neurology | 255 South 17th St, Suite 2301, Phila, PA 19103 | 2007-07-18 |
| 1225084411 | Michel Bien-aime | Psychiatry & Neurology | 1401 S 4th St, 4th Floor, Phila, PA 19147-5948 | 2006-05-26 |
| 1326565920 | Nazareth Physician Services | Psychiatry & Neurology | 2701 Holme Ave Ste 104, Phila, PA 19152-2029 | 2017-08-24 |
| 1528584810 | Mercy Management of Sepa | Psychiatry & Neurology | 501 S 54th St, Phila, PA 19143-1900 | 2017-08-17 |
| 1831378975 | Kevin Gochan Huang | Psychiatry & Neurology | 112 N Broad St, Rm 821, Phila, PA 19102-1510 | 2007-10-25 |
| 1295926194 | Sachin Mehta | Psychiatry & Neurology | 4200 Monument Rd, Phila, PA 19131-1625 | 2007-08-06 |
| 1104048040 | Hilary Lyons Oneill | Psychiatry & Neurology | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-05-02 |
| 1376764969 | Joshua Green | Psychiatry & Neurology | 833 Chestnut Street, Suite 210, Phila, PA 19107-4414 | 2007-05-01 |
| 1528289139 | Douglas Smith | Psychiatry & Neurology | 833 Chestnut Street, Suite 210, Phila, PA 19107-4414 | 2007-05-01 |
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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.