Gan Chabad

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

GAN CHABAD

Practice address

7620 Castor Ave
Philadelphia, PA 19152-4025

Phone

(215) 695-0399

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By 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

Doba Weber, BA ED

Title

Director

Phone

(215) 695-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gan Chabad Other name

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1912584285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524025",
            "telephone_number": "215-695-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524025",
            "telephone_number": "215-695-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAN CHABAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DOBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-695-0399",
        "authorized_official_credential": "BA ED"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "102975334-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gan Chabad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen Gambrah, NP
• Courtney Cierra Gambrell, LPC
• Krystal Gamez, PSYD
• Devki Gami, MD
• Vincent John Gamuzza, O.D.
• Sarah Gan, M.D.
• Zoe Su Wen Gan
• Christine Marie Gana
• Joyce Ganas
• Ganasa LLC (Family Farmacia)

• Pastoral Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pastoral Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.