Leon E Cushenberry Jr. (NPI# 1053669218, PAC ID# 1658660345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1053669218 |
| PAC ID by PECOS | 1658660345 |
| Professional Enrollment ID | I20181012000941 |
| Full Name | Leon E Cushenberry Jr. |
| Organization Legal Name | FRIENDS BEHAVIORAL HEALTH SYSTEM, LP |
| Address |
4641 Roosevelt Blvd Philadelphia PA 19124-2398 |
| Phone Number | 2158314600 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6002858891 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 S 30th St, Philadelphia, PA 19104-3403 | 2153863838 | HORIZON HOUSE, INC. |
| 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 | 2158314600 | FRIENDS BEHAVIORAL HEALTH SYSTEM, LP |
| Organization Legal Name | FRIENDS BEHAVIORAL HEALTH SYSTEM, LP |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul A Ballas | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Nasifa Rahman | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Stephen A. Prayson | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Mitali Patnaik | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Charles T Mcglynn | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Charles J Trigiani | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| David B Roat | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Matthew C Parker | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Pamela A. London | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Bhanu Srigiriraju | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Street Address |
4641 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19124-2398 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul A Ballas | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Nasifa Rahman | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Stephen A. Prayson | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Mark A Mcclurg | Psychiatry | Medical Psychiatric Associates of Delaware Valley | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 |
| Mitali Patnaik | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Charles T Mcglynn | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Charles J Trigiani | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| David B Roat | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Matthew C Parker | Psychiatry | Friends Behavioral Health System, Lp | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 |
| Katherine B Frantz | Psychiatry | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooks Allen Aylor | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Patrick M Johnson | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| David Como | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Paula B Slomsky | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Susan Siegelman | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Patrick Kevin Grugan | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Liudmila Lobach | Psychiatry | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Lisa Vinnacombe | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Aleka Kostouros | Clinical Social Worker | Northeast Community Center for Mental Health-mental Retardation I | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Emma Hazanov | Clinical Social Worker | Northeast Community Center for Mental Health and Mental Retardation | Roosevelt Blvd Adams Ave, Philadelphia, PA 19124 |
| Find all physicians in zip 19124 | |||
| City | PHILADELPHIA |
| Zip Code | 19124 |
| Specialty | PSYCHIATRY |
| City + Specialty | PHILADELPHIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Leon E Cushenberry Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.