MRS. MYRYAN A. LIZAMA (NPI# 1033400841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033400841 |
| Entity Type | Individual |
| Full Name | MRS. MYRYAN A. LIZAMA |
| Other Name | MYRYAN A. LIZAMA |
| Practice Address |
136 Diamond St Philadelphia PA 19122-1721 |
| Practice Telephone | 2672716199 |
| Mailing Telephone | 2672716199 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
136 DIAMOND ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114953619 | Kensington Hospital | General Acute Care Hospital | 136 Diamond St, Philadelphia, PA 19122-1721 | 2006-06-25 |
| 1124578166 | Katheryn Kucharski | Social Worker | 136 Diamond St, Philadelphia, PA 19122-1721 | 2016-10-13 |
| 1881940468 | Kensington Hospital Substance Abuse Services | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2012-08-01 |
| 1902152689 | Kensington Hospital-case Management Services | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2012-07-31 |
| 1508020967 | Kensington Hospital- Family Planning Clinic | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-15 |
| 1336302017 | Kensington Hospital- Intensive Outpatient Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-03 |
| 1225209992 | Chaudhry & Associates, Inc. | Dentist | 136 Diamond St, Dental Clinic, Philadelphia, PA 19122-1721 | 2008-03-20 |
| 1538376538 | Richard Clinton Vause Jr. | Physician Assistant | 136 Diamond St, Kensington Hospital, Philadelphia, PA 19122-1721 | 2007-05-17 |
| 1962543843 | Kensington Hospital- Congreso Clinic | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-02-12 |
| 1285783852 | Kensington Hospital | Clinical Medical Laboratory | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
Please comment or provide details below to improve the information on MRS. MYRYAN A. LIZAMA.
| 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.