Jonathan Shack
MD | Psychiatry | 36+ years Exp
100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia
Pennsylvania, 19125-1000
215-707-8496 215-707-4086
Maps & DirectionsJonathan Shack is a Philadelphia, Pennsylvania based psychiatrist with 36 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: | 36+ 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.
| Organization Name (Group PAC ID) | Members |
| Eastern Pennsylvania Physician Alliance, Llc (8325478662) | 75 |
Other Medical Identifiers:
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.