JACKSON L STEWART (NPI# 1003328378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003328378 |
| Entity Type | Individual |
| Full Name | JACKSON L STEWART |
| Credential | PSYCHOLOGIST |
| Practice Address |
110 Campus Dr Bradford PA 16701-1982 |
| Practice Telephone | 8143626535 |
| Mailing Telephone | 8143626535 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS004481L | PA | Behavioral Health & Social Service Providers |
| Street Address |
110 CAMPUS DR |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740856 | The Guidance Center | Clinic/Center | 110 Campus Dr, Bradford, PA 16701-1982 | 2005-09-13 |
| 1184221194 | Matthew Buck | Counselor | 110 Campus Dr, The Guidance Center, Bradford, PA 16701 | 2020-10-02 |
| 1255941530 | The Guidance Center | Clinic/Center | 110 Campus Dr, Bradford, PA 16701-1982 | 2020-08-03 |
| 1487290227 | Rebecca L Alborn | Physical Therapist | 110 Campus Dr, Bradford, PA 16701-1982 | 2019-11-26 |
| 1609419092 | Erika Hastings | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2019-10-18 |
| 1043877178 | Shannon Mcandrew | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2019-05-23 |
| 1194208223 | Denise A Seagren Peterson | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2018-09-14 |
| 1306334313 | Nina Lau | Registered Nurse | 110 Campus Dr, Bradford, PA 16701-1982 | 2018-04-25 |
| 1114429131 | Jennifer L South | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2018-03-06 |
| 1104343383 | Johnna Mccullough | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306028105 | John Wesley Addis | Psychologist | 23 Kennedy Street, Suite 202, Bradford, PA 16701-2005 | 2007-12-04 |
| 1245748334 | Mark Fugate | Psychologist | 800 E Main St, Bradford, PA 16701-3278 | 2018-01-11 |
| 1194829689 | David Dean Harten | Psychologist | 110 Campus Dr, The Guidance Center, Bradford, PA 16701-1982 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578937 | Margaret Edwards | Psychologist | 110 S 20th St Ste 206, Philadelphia, PA 19103-4486 | 2020-11-03 |
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1689272577 | Katherine Piselli | Psychologist | 3401 Market St Ofc 3216, Philadelphia, PA 19104-3318 | 2020-10-13 |
| 1033717202 | Batsirai Bvunzawabaya | Psychologist | 306 Shelbourne Rd, Havertown, PA 19083-3019 | 2020-10-11 |
| 1124635891 | Dylan Alexander Corp | Psychologist | 303 Farmstead Ln Apt 16, State College, PA 16803-2519 | 2020-09-28 |
| 1184231995 | Dorothy Cashore | Psychologist | 907 West St Rm 214, Pittsburgh, PA 15221-2838 | 2020-09-25 |
| 1134734213 | Heejin Kim | Psychologist | 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010-1559 | 2020-09-15 |
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1518576925 | Ll Mulhollem Counseling and Psychotherapy, LLC | Psychologist | 751 E High St, Elizabethtown, PA 17022-1714 | 2020-07-31 |
| 1750990263 | Pattey Fong Psychology Associates | Psychologist | 1062 E Lancaster Ave Ste 25, Bryn Mawr, PA 19010-1567 | 2020-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.