MEDICARE: DR. ANDREW DONALD PESHEK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD420541	PA

General Provider Information

NPI Number	:	1255451654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW DONALD PESHEK M.D.

Provider Business Mailing Address
First Line	:	2531 S 21ST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4207
Country	:	US
Telephone Number	:	267-307-2340
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 CHESTNUT ST
Second Line	:	SUITE 104
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3024
Country	:	US
Telephone Number	:	215-928-1280
Fax Number	:	215-928-1281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	05/04/2016

Similar Medicare Providers

1538108741 — MS. CYNTHIA JONES LPC
Practice Location Address:

128 CHESTNUT ST , SUITE 306
PHILADELPHIA, PA
19106-3024

Practice Phone: 267-225-0289
Practice Fax: 267-209-6494

1982119020 — MRS. REBECCA CLARKE LCSW
Practice Location Address:

128 CHESTNUT ST STE 303
PHILADELPHIA, PA
19106-3024

Practice Phone: 215-600-1714
Practice Fax:

1437646957 — DR. DANIEL EGBERT RUCKDESCHEL PHD
Practice Location Address:

128 CHESTNUT ST STE 303
PHILADELPHIA, PA
19106-3024

Practice Phone: 215-399-4128
Practice Fax:

1063996098 — ALISA STAMPS MSS, LCSW
Practice Location Address:

128 CHESTNUT ST
PHILADELPHIA, PA
19106-3024

Practice Phone: 484-416-1160
Practice Fax:

1982172094 — SPARK TMS THERAPEUTIC CENTER, LLC
Practice Location Address:

128 CHESTNUT ST STE 103
PHILADELPHIA, PA
19106-3024

Practice Phone: 484-278-1616
Practice Fax: 215-356-1700

1205309986 — EMILY POTTER COX MA, LPC
Practice Location Address:

128 CHESTNUT ST STE 303
PHILADELPHIA, PA
19106-3024

Practice Phone: 215-399-4128
Practice Fax:

Directions to “ DR. ANDREW DONALD PESHEK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.