SUSAN A MOORE-MOTILY (NPI# 1073597696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073597696 |
Entity Type | Individual |
Full Name | SUSAN A MOORE-MOTILY |
Credential | MA |
Practice Address |
3939 W Ridge Rd Ste A210 Erie PA 16506-1879 |
Mailing Address |
4124 Ridgewood Dr Erie PA 16506-4090 |
Practice Telephone | 8148389155 |
Practice Fax Number | 8148389097 |
Mailing Telephone | 8148389155 |
Mailing Fax Number | 8148389097 |
Enumeration Date | 2005-12-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS006812L | PA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | VALUE OPTIONS | 211426 | 01 |
PA | KEYSTONE HEALTH PLAN WEST | 500985 | 01 |
PA | AETNA | 5732205 | 01 |
PA | HIGHMARK BC/BS PREMIER BL | 802324 | 01 |
Street Address |
3939 W RIDGE RD STE A210 |
City | ERIE |
State | PA |
Zip Code | 16506-1879 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609233071 | Melissa Mason | Counselor | 3939 W Ridge Rd, B-41, Erie, PA 16506-1879 | 2016-01-15 |
1386019057 | Occumedica LLC | Preventive Medicine | 3939 W Ridge Rd, Suite A200, Erie, PA 16506-1879 | 2015-12-07 |
1982043394 | Innovative Therapy Services, LLC | Counselor | 3939 W Ridge Rd, Suite B-45, Erie, PA 16506-1879 | 2013-06-19 |
1730523192 | Shana Lynn Bennett | Social Worker | 3939 W Ridge Rd, Suite B-45, Erie, PA 16506-1879 | 2013-04-29 |
1427183524 | Georgann M Richard | Counselor | 3939 W Ridge Rd, Suite B50, Erie, PA 16506-1879 | 2007-02-22 |
1629114020 | Your Family Doctor, PC | Family Medicine | 3939 W Ridge Rd, Suite A-101, Erie, PA 16506-1879 | 2007-01-30 |
1104979186 | Emily Ann Aspden | Physical Therapist | 3939 W Ridge Rd, Safe Harbor - Early Intervention, Erie, PA 16506-1879 | 2007-01-21 |
1831248822 | William J Krowinski Jr. | Social Worker | 3939 W Ridge Rd, Bldg B, 2nd Floor, Erie, PA 16506-1879 | 2007-01-09 |
1104986694 | Gary Michael Connell | Counselor | 3939 W Ridge Rd, Erie, PA 16506-1879 | 2006-12-12 |
1760561237 | George M Capozzoli | Psychologist | 3939 W Ridge Rd, Suite B-43, Erie, PA 16506-1879 | 2006-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
Find all providers in zip 16506 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750663332 | Eileen M Barron | Psychologist | 3939 W Ridge Rd Ste B43, Erie, PA 16506-1882 | 2011-09-09 |
1972779320 | Adrienne Michele Dixon-mccullum | Psychologist | 2513 Harrison St, Erie, PA 16510-1511 | 2008-05-06 |
1174627608 | Vivian Ann Tamburello | Psychologist | 3364 W 26th St, Suite #100, Erie, PA 16506-2450 | 2006-09-13 |
1285981407 | Medical Associates of Erie | Psychologist | 1 Lecom Pl, Erie, PA 16505-2571 | 2012-08-07 |
1578643557 | Katherine Leila Wardi-zonna | Psychologist | 3364 W 26th St, Suite 100 Bldg. A, Erie, PA 16506-2450 | 2006-10-16 |
1578586186 | Debra T Gilroy | Psychologist | 120 E 2nd St, Third Floor, Erie, PA 16507-1537 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368260 | Marilia Marien | Psychologist | 713 Buck Ln, Haverford, PA 19041-1201 | 2020-08-31 |
1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
1891308706 | Yuhong He | Psychologist | 34 Overlook Cir, Garnet Valley, PA 19060-2248 | 2020-08-28 |
1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
1891315750 | Anne Patricia Myers | Psychologist | 605 W Street Rd, Warminster, PA 18974-3214 | 2020-04-21 |
1326673120 | Life Line Community Ministries LLC | Psychologist | 9398 Birch Ln, Tobyhanna, PA 18466-3846 | 2020-03-12 |
1669005203 | North Shore Counseling Services | Psychologist | 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 | 2020-02-21 |
1184274946 | St. Luke's Hospital | Psychologist | 512 Bank Street, Bowmanstown, PA 18030 | 2019-09-13 |
1780241661 | Gregory Tucker | Psychologist | 780 E Market St Ste 220&230, West Chester, PA 19382-4882 | 2019-05-25 |
1023674199 | Kara Mcquaid | Psychologist | 555 Second Ave Ste B-300, Collegeville, PA 19426-3636 | 2019-05-14 |
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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.