Jonathan Shack is a Philadelphia, Pennsylvania based psychiatrist with 35 years of experience in Psychiatry. He completed his graduation in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jonathan Shack is MD045140L for Psychiatry in Pennsylvania. His current practice location is 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia. Patients can reach him at 215-707-8496 or can fax him at 215-707-4086. Jonathan Shack is MD in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1629066626. Jonathan Shack 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.
Complete Profile:
Jonathan Shack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jonathan Shack
Specialization:
Psychiatry
Gender:
Male
Credentials:
MD
Experience:
35+ years
Medical School Attended:
Other
Graduation Year:
1989
Accepts Medicare Assignment:
Yes
Practice Address:
100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, Pennsylvania, 19125-1000
Phone:
215-707-8496
Fax:
215-707-4086
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5092608265
Enrollment ID:
I20040203000756
NPI Number:
1629066626
NPI Enumeration Date:
12 Oct, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan Shack are as mentioned below.
License Number
Specialization
State
Status
MD045140L
Psychiatry
Pennsylvania
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jonathan Shack is associated with along with the number of members in that group.
Other legacy medical identifiers associated with Jonathan Shack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0013992500004
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jonathan Shack 3425 N Carlisle St, 2nd Floor Hudson Bldg Philadelphia, Pennsylvania
Zip:
19140-5108
Phone Number:
215-707-4739
Fax Number:
215-707-3677
Patients can reach Jonathan Shack at 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, Pennsylvania or can call to book an appointment on 215-707-8496.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.