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IMAGINE MEDICAL GROUP PA NPI 1821731548


NPI Information

NPI: 1821731548
Provider Name: IMAGINE MEDICAL GROUP, PA

Doing Business As: INNOVATEL MEDICAL

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
100 S JUNIPER ST FL 3
PHILADELPHIA, PA
ZIP 19107
Phone: (267) 999-9534
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IMAGINE MEDICAL GROUP, PA is a psychiatry psychiatry neurology in Philadelphia, PA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. IMAGINE MEDICAL GROUP, PA NPI is 1821731548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innovatel Medical.

The provider's business location address is:

100 S JUNIPER ST FL 3
PHILADELPHIA, PA
ZIP 19107-316
Phone: (267) 999-9534

The provider's authorized official is Robert Wilson .
The authorized official title is President and has the following contact phone number (866) 492-7597.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 6/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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