Vericare of Pennsylvania, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VERICARE OF PENNSYLVANIA, P.C.

Doing business as

Vericare

Practice address

7310 Stenton Ave
Philadelphia, PA 19150-3412

Phone

(800) 360-3651

NPI assigned

Jun 7, 2006

Reactivated

Aug 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa King

Title

Director, Credentialing Enrollment

Phone

(800) 370-3651

Specialties & licenses 5

Addresses

Other identifiers 5

Other names 1

• Vericare Doing business as

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gaye C. Beatty, LCSW

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1932109436
  NPD (past)
• David P Borsos, PH.D.

  • Clinical Psychologist
  • Bethlehem, PA
  • NPI 1043274053
  NPD (past)
• Phyllis Reams Brentzel, PSY. D.

  • Clinical Psychologist
  • North Huntingdon, PA
  • NPI 1093783607
  NPD (past)
• Jeffrey David Freedman, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1801858626
  NPD (past)
• Dennis C. Gold, PH.D.

  • Psychologist
  • Dallas, PA
  • NPI 1528159613
  NPD (past)
• Jeffrey A. Gold, PHD

  • Clinical Psychologist
  • Newtown, PA
  • NPI 1245426006
  NPD (past)
• Kolin Diane Good, M.D.

  • Psychiatry Physician
  • West Reading, PA
  • NPI 1235164658
  NPD (past)
• Karen L. Katunich, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1326072430
  NPD (past)
• Thomas Klee, PH.D.

  • Psychologist
  • Wynnewood, PA
  • NPI 1245436419
  NPD (past)
• Nancy Elizabeth Kunsak, PH.D

  • Clinical Psychologist
  • Pittsburgh, PA
  • NPI 1689673543
  NPD (past)
• Julie Michelle Leusner, PSY.D.

  • Counseling Psychologist
  • Upper Darby, PA
  • NPI 1598973257
  NPD (past)
• Katharine Caldwell McCorkle, PH.D.

  • Psychologist
  • Wexford, PA
  • NPI 1902819378
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1063452357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503412",
            "telephone_number": "800-360-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERICARE OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-07-10",
        "deactivation_date": "2007-04-11",
        "reactivation_date": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING ENROLLMENT",
        "authorized_official_telephone_number": "800-370-3651"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014965090033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "908446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CC3572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "404082",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "612528",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vericare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syreeta Vereen, MA
• Jacqueline Amanda Veress, CRNP, FNP - C
• Norge Vergara, MD
• Sarina Maria Vergara
• Elizabeth Joan Vergare, M.S, CCC-SLP
• Tarfa Ioryisa Verinumbe, MD, MPH
• Verity Home Health, LLC.
• Aditi Verma
• Archana Verma, M.D.
• Ravina Verma, MD

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.