LEHIGH VALLEY PHYSICIAN GROUP (NPI# 1063656270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063656270 |
| Entity Type | Organization |
| Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Other Organization Name | LVPG-MENTAL HEALTH CLINIC 17TH STREET |
| Practice Address |
1627 W Chew St 3rd Floor Allentown PA 18102-3648 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6104021155 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |
| Authorized Official Name | ROBERT B KNOX (ASSOCIATE EXEC DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6107984500 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LVPG-Mental Health Clinic 17th Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525247 | Lehigh Valley Physician Group | Family Medicine | 1275 S Cedar Crest Blvd Ste 5, Allentown, PA 18103-6207 | 2020-07-13 |
| 1790253904 | Lehigh Valley Physician Group | Family Medicine | 4263 Lonat Drive, Nazareth, PA 18064-8403 | 2018-11-06 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1689931842 | Lehigh Valley Physician Group | Chiropractor | 798 Hausman Rd Ste 240, Allentown, PA 18104-9108 | 2012-04-12 |
| 1316265192 | Lehigh Valley Physician Group | Family Medicine | 850 Golden Dr, Blandon, PA 19510-9631 | 2010-05-04 |
| 1639313224 | Lehigh Valley Physician Group | Internal Medicine | 281 North 12th Street, Suite B, Gnaden Huetten Professional Building, Lehighton, PA 18235 | 2009-04-27 |
| 1629212311 | Lehigh Valley Physician Group | Family Medicine | 6081 Hamilton Blvd, Wescosville, PA 18106-9767 | 2009-04-24 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1457412504 | Lehigh Valley Physician Group | Internal Medicine | 1255 S Cedar Crest Blvd Ste 2100, Allentown, PA 18103-6226 | 2006-12-13 |
| Street Address |
1627 W CHEW ST 3RD FLOOR |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250418 | Anita C Daniels-rodriguez | Pediatrics | 1627 W Chew St, Allentown, PA 18102-3648 | 2005-10-24 |
| 1073873733 | Gisela Rosario Rosario | Internal Medicine | 1627 W Chew St, Allentown, PA 18102-1556 | 2012-05-29 |
| 1790081842 | Colleen Horlacher | Social Worker | 1627 W Chew St, 3rd Floor, Allentown, PA 18102-3648 | 2011-02-08 |
| 1306152798 | Michelle Martucci | Dietitian, Registered | 1627 W Chew St, Allentown, PA 18102-3648 | 2010-08-24 |
| 1588809156 | Megan Kathleen Wukitsch | Nurse Practitioner | 1627 W Chew St, Allentown, PA 18102-3648 | 2008-12-10 |
| 1306094982 | Courtney M Kazmierczak | Nurse Practitioner | 1627 W Chew St, Allentown, PA 18102-3648 | 2008-09-08 |
| 1225207053 | Lehigh Valley Physician Group | Advanced Practice Midwife | 1627 W Chew St, Allentown, PA 18102-3648 | 2008-02-26 |
| 1518174622 | Gregory Kainz | Obstetrics & Gynecology | 1627 W Chew St, Allentown, PA 18102-3648 | 2007-05-17 |
| 1144433491 | Betty Bohorquez | Nurse Practitioner | 1627 W Chew St, Allentown, PA 18102-3648 | 2007-05-07 |
| 1255484150 | Janelle M. Sharma | Nurse Practitioner | 1627 W Chew St, 1st Floor, Allentown, PA 18102-3648 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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 laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215217070 | Tendai M Mawindi | Psychiatry & Neurology | 605 W Turner St, Allentown, PA 18102-4105 | 2011-08-25 |
| 1114187564 | Leon Arthur Skweir | Psychiatry & Neurology | 2060 Minesite Rd, Allentown, PA 18103-9632 | 2008-06-10 |
| 1053452755 | Ron Mahlab | Psychiatry & Neurology | 210 N 6th St, Allentown, PA 18102-4112 | 2007-02-08 |
| 1114066487 | Stephen Joel Barrett | Psychiatry & Neurology | 2421 W Greenleaf St, Allentown, PA 18104-3935 | 2007-02-05 |
| 1700949161 | Glenn R Koch and Associates Inc | Psychiatry & Neurology | 961 Marcon Boulevard, Suite 312, Allentown, PA 18109 | 2006-12-18 |
| 1700980018 | Lehigh Valley Psychiatric Assoc Inc | Psychiatry & Neurology | 401 Nth 17th St, Ste 304, Allentown, PA 18104 | 2006-09-08 |
| 1659337012 | Mood & Memory Associates | Psychiatry & Neurology | 5706 Belmont Cir, Allentown, PA 18106-3627 | 2006-04-25 |
| 1417953761 | Farhad Sholevar | Psychiatry & Neurology | 2895 Hamilton Blvd, Suite 104, Allentown, PA 18104-6172 | 2005-06-22 |
| 1679122659 | Bet-el Counseling Services, Inc | Psychiatry & Neurology | 210 N 6th St, Allentown, PA 18102-4112 | 2019-09-11 |
| 1992294466 | Bet. El Counseling Services, Inc | Psychiatry & Neurology | 530 Ridge Ave, Allentown, PA 18102-5117 | 2018-05-09 |
| Find all providers in ALLENTOWN | ||||
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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.