Individual provider · Type 1 NPI

Jonathan Shack, MD

Psychiatry Physician · Philadelphia, PA

NPI number 1629066626 Active

Practice location

100 E Lehigh Ave, Mab Bldg Ste 105
Philadelphia, PA 19125-1000

Call (215) 707-8496 Map

Fax (215) 707-4086

Mailing address

3425 N Carlisle St, 2nd Floor Hudson Bldg
Philadelphia, PA 19140-5108

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800XMD045140L (PA)

Psychiatry Physician: 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 la…

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About NPI 1629066626

Jonathan Shack, MD's National Provider Identifier is 1629066626, issued on Oct 12, 2005. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2026.