Organization
SPRINGHOUSE PSYCHIATRY PROFESSIONAL CORPORATION
Active
Organization
SPRINGHOUSE PSYCHIATRY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEEM MOMIN MD (OWNER)
(267) 663-8800
Entity
Organization
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(267) 777-9949
(267) 778-6105
Mailing address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(267) 777-9949
(267) 778-6105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103319640
—
PA
01
—
71655
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
PA
01
—
MD457878
COMMONWEALTH OF PENNSYLVANIA - STATE BOARD OF MEDICINE
PA
Enumeration date
07/09/2025
Last updated
07/09/2025
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