Provider Demographics
NPI:1467232884
Name:INSIGHT MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:INSIGHT MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MADELON
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHDAL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:570-994-4062
Mailing Address - Street 1:PO BOX 829
Mailing Address - Street 2:
Mailing Address - City:POCONO LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18347-0829
Mailing Address - Country:US
Mailing Address - Phone:570-944-4062
Mailing Address - Fax:
Practice Address - Street 1:134 BROAD ST STE 4
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1590
Practice Address - Country:US
Practice Address - Phone:570-445-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty