Provider Demographics
NPI:1366288359
Name:PSYCHIATRY ADVOCATES
Entity type:Organization
Organization Name:PSYCHIATRY ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:PSYCHIATRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADVOCATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-354-0455
Mailing Address - Street 1:1300 MACDADE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-1611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 MACDADE BLVD STE 239
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-1611
Practice Address - Country:US
Practice Address - Phone:267-354-0455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty