PROSPECT CCMC, LLC (NPI# 1043674351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043674351 |
| Entity Type | Organization |
| Organization Name | PROSPECT CCMC, LLC |
| Other Organization Name | NEW PATHWAYS |
| Practice Address |
100 Crozerville Rd Aston PA 19014-1444 |
| Practice Telephone | 6104472000 |
| Practice Fax Number | 6104476620 |
| Mailing Telephone | 6104472000 |
| Mailing Fax Number | 6104476620 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chester Upland School District Day Program | Other Name - Individual/Organization |
| New Pathways | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578927885 | Prospect Ccmc, LLC | Clinic/Center | 201 Bridgewater Rd, Chester, PA 19015-2113 | 2016-04-12 |
| 1740644053 | Prospect Ccmc, LLC | Clinic/Center | 710 S Middletown Rd, Media, PA 19063-5024 | 2016-04-12 |
| 1669084364 | Prospect Ccmc, LLC | Case Management | 301 W 15th St, Chester, PA 19013-5300 | 2020-08-24 |
| 1750943445 | Prospect Ccmc, LLC | Clinic/Center | 800 Macdade Blvd, Collingdale, PA 19023-3826 | 2019-07-02 |
| 1477113249 | Prospect Ccmc, LLC | Clinic/Center | 800 Macdade Blvd, Collingdale, PA 19023-3826 | 2019-06-14 |
| 1427595982 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2017-01-23 |
| 1942745211 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-12-22 |
| 1659728640 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-19 |
| 1376990366 | Prospect Ccmc, LLC | Clinic/Center | 301 W 15th St, Chester, PA 19013 | 2016-05-19 |
| 1184071177 | Prospect Ccmc, LLC | Case Management | 301 W 15th St, Chester, PA 19013-5300 | 2016-05-19 |
| Street Address |
100 CROZERVILLE RD |
| City | ASTON |
| State | PA |
| Zip Code | 19014-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647090 | Alexandra Lee | Student in an Organized Health Care Education/Training Program | 100 Crozerville Rd, Aston, PA 19014-1444 | 2020-10-22 |
| 1639783186 | Claire Helligso | Social Worker | 100 Crozerville Rd, Aston, PA 19014-1444 | 2020-09-02 |
| 1972125599 | Paige Benjamin | Counselor | 100 Crozerville Rd, Aston, PA 19014-1444 | 2020-05-18 |
| 1386287829 | Shanta Austin | Counselor | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-10-28 |
| 1154964088 | Dana Shafer | Student in an Organized Health Care Education/Training Program | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-10-23 |
| 1811540370 | Tamika Dama Purvines | Social Worker | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-07-23 |
| 1639639065 | Nancy E Brown | Behavioral Analyst | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-03-21 |
| 1336617992 | Arisa Chan | Art Therapist | 100 Crozerville Rd, Aston, PA 19014-1444 | 2018-11-12 |
| 1043713944 | Susan Lea Wienand | Dental Hygienist | 100 Crozerville Rd, Aston, PA 19014-1444 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374135 | Lauren Walker | Physical Therapist | 482-484 Conchester Highway, Suite 7 & 8, Aston, PA 19014 | 2018-11-06 |
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1972925675 | Lylelaine Bacalla | Registered Nurse | 50 Andrews Court, Upper Chichester, PA 19014 | 2014-01-15 |
| 1598020539 | Tarlan Arshian | Dentist | 488 Conchester Hwy, Upper Chichester, PA 19014 | 2012-07-05 |
| 1104194703 | Carla Laury | Counselor | 302 Belvue Terrace, Aston, PA 19014 | 2011-12-09 |
| 1548542426 | Me Lee Ghassemi | Pharmacist | 3620 Concord Road, Walgreens Pharmacy, Aston, PA 19014 | 2011-09-15 |
| 1649504986 | Chester Pain Management | General Practice | 4610 Pennell Road, Aston, PA 19014 | 2009-09-18 |
| 1053555474 | Sleepcare Center Inc. | Specialist | 4513 Pennell Road, Aston, PA 19014 | 2009-04-29 |
| 1366619033 | Jonathan Nobuhiro Hayashi | Dentist | 2901 Dutton Mill Road, Aston, PA 19014 | 2008-05-13 |
| 1215055355 | Karen Ann Maher | Physical Therapist | 2507 Chestnut Street, Chester, PA 19014 | 2007-03-27 |
| Find all providers in zip 19014 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427204247 | Crozer-chester Medical Center | Clinic/Center | 200 Commerce Drive, Aston, PA 19014-0000 | 2008-08-12 |
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|---|---|---|---|---|
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| 1629680319 | Innovative Pediatric Therapy Services LLC | Clinic/Center | 713 Bridge St Ste 23, Selinsgrove, PA 17870-1250 | 2020-08-24 |
| 1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
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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.