Dr. Chris Gus Dematatis, Chris Dematatis
Psychologist, Counseling in Bala Cynwyd, PA. Individual provider (NPI-1).
NPI number1295883320
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295883320
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chris Gus Dematatis
- Credential
- Chris Dematatis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | PS-003889-L | PA | Yes |
Other names
- Chris Gus Dematatis (Professional Name)
Practice location
191 Presidential BlvdSuite 124
Bala Cynwyd, PA 19004-1207
Phone 610-667-5829 · Fax 610-667-3438
Mailing address
191 Presidential BlvdSuite 124
Bala Cynwyd, PA 19004-1207
Phone 610-667-5829 · Fax 610-667-3438
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