Provider Demographics
NPI:1437215845
Name:COLLABORATIVE PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:COLLABORATIVE PSYCHIATRIC ASSOCIATES
Other - Org Name:COLLABORATIVE CARE OF ABINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN BC
Authorized Official - Phone:215-806-7223
Mailing Address - Street 1:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-0598
Mailing Address - Country:US
Mailing Address - Phone:610-697-9885
Mailing Address - Fax:215-714-7395
Practice Address - Street 1:1369 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3411
Practice Address - Country:US
Practice Address - Phone:610-697-9885
Practice Address - Fax:215-714-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
811466Medicare ID - Type Unspecified