INNOVATEL MEDICAL
NPI 1821731548
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Imagine Medical Group, PA's NPI number?

The NPI number for Imagine Medical Group, PA is 1821731548. It was assigned to this organization in the NPPES registry on April 20, 2022. The provider is doing business as Innovatel Medical.

Q: What is Imagine Medical Group, PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 20, 2022

100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107(267) 999-9534 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, May 31, 2023, Apr 12, 2023 and 7 more (10 updates tracked since 2022).

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About Innovatel Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATEL MEDICAL (NPI 1821731548) is a healthcare organization registered as a psychiatry in Philadelphia, Pennsylvania and active in the NPI registry since April 2022. The organization maintains 3 additional practice locations and lists Robert Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1821731548

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameIMAGINE MEDICAL GROUP, PA

Location Address100 S JUNIPER ST FL 3Philadelphia, PA 19107-1316

Mailing Address228 Park Ave SNew York, NY 10003-1502 · (267) 999-9534

Phone(267) 999-9534

Organization SubpartNo

Authorized OfficialRobert WilsonPresident · (814) 392-8679

Enumeration DateApril 20, 2022

Last NPPES UpdateOctober 24, 202410 updates tracked since enumeration

NPPES CertifiedOctober 24, 2024

✔ NPI 1821731548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

100 S JUNIPER ST FL 3, Philadelphia, PA 19107

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Other Names 1

Doing Business AsInnovatel Medical

Secondary Practice Locations 3

Location 12815 Elliott Ave Ste 100Seattle, WA 98121-2991 · Phone (206) 316-1106

Location 21 Gateway Ctr Ste 2600Newark, NJ 07102-5323 · Phone (267) 999-9534

Location 3400 Renaissance Ctr Ste 2600Detroit, MI 48243-1599 · Phone (313) 479-0497

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARI KERR NP

Nurse Practitioner (Family)