Gomberg Psychiatric Associates, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD015248E Issued in PA

Legal business name

GOMBERG PSYCHIATRIC ASSOCIATES, INC.

Practice address

748 N Bethlehem Pike
Spring House, PA 19477-1013

Phone

(215) 628-8585

Fax

(215) 247-4404

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Alan Gomberg, M.D.NPI 1114028057

Title

President

Phone

(215) 628-8585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Alan Gomberg, M.D.

  • Psychiatry Physician
  • Elkins Park, PA
  • NPI 1114028057
  Authorized official Same address or phone

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1225219348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770246",
            "telephone_number": "215-628-8585",
            "fax_number": "215-247-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N BETHLEHEM PIKE",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194771013",
            "telephone_number": "215-628-8585",
            "fax_number": "215-247-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMBERG PSYCHIATRIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "GOMBERG",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-628-8585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD015248E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germin Farag
• Jennifer Filip, PA-C, MS
• Sarah Frazier, PHARMD
• Geriatric and Medical Services Inc. (Silver Stream Center)
• Phyllis Goldberg, MSW LICSW DCSW
• Lindsay Ariel Goodstein
• Christopher W Grala, PSY.D.
• Norman J Graulich, DMD
• Daniel Michael Green, RPH
• Dana Harbison, MSOM

• Psychiatry Physician in Spring House, PA
• Providers in Spring House, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.