JUSTIN BULLOCK (NPI# 1083274161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083274161 |
| Entity Type | Individual |
| Full Name | JUSTIN BULLOCK |
| Practice Address |
1420 Walnut St Ste 1350 Philadelphia PA 19102-4019 |
| Mailing Address |
2506 Chatham Rd Lansing MI 48910-2406 |
| Practice Telephone | 2156643200 |
| Mailing Telephone | 2677747088 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235101 | Justin Lamont Bullock | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2019-03-21 |
| 1538395819 | Justin Franklin Bullock | Counselor | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 | 2009-06-01 |
| Street Address |
1420 WALNUT ST STE 1350 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295146959 | Emmanuel Jean-rene Richard | Social Worker | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2014-05-15 |
| 1992284038 | Richard Amoako | Social Worker | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2018-08-09 |
| 1497231252 | Sherelle Ingram | Counselor | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2018-07-16 |
| 1346726197 | Monique Hedge | Counselor | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2018-07-16 |
| 1821593773 | Lynda Mitchell | Recreation Therapist | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2018-03-23 |
| 1962906099 | Meegan Hussain | Music Therapist | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2018-03-22 |
| 1124538947 | Victoria Marie Legowski | Marriage & Family Therapist | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2017-10-06 |
| 1376063008 | Humphrey Jabateh | Counselor | 1420 Walnut St Ste 1350, Philadelphia, PA 19102-4019 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772405 | Jesse Willard Woods IIi | Counselor | 1410 N 31st St, Philadelphia, PA 19121-3870 | 2019-04-20 |
| 1154871531 | Sarah Kodish-eskind | Counselor | 1340 Moore St, Philadelphia, PA 19148-1528 | 2016-10-10 |
| 1003289125 | Ashley Diggs | Counselor | 412 E Chelten Ave, Philadelphia, PA 19144-5754 | 2015-11-11 |
| 1649555764 | Lauren A Connor | Counselor | 1222 Panama St, Philadelphia, PA 19107-5920 | 2011-10-20 |
| 1831321603 | Rebecca Lynn Twiford | Counselor | 127 W Oxford Street, Philadelphia, PA 19122-3996 | 2009-08-12 |
| 1700156254 | Robyn Greenberg | Counselor | 4641 Roosevelt Blvd, Orleans Bldg, Philadelphia, PA 19124-2343 | 2011-12-30 |
| 1275803728 | Stephanie M Early | Counselor | 4641 Roosevelt Blvd, Orleans Bldg, Philadelphia, PA 19124-2343 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1104354240 | Linda Alene Gates | Counselor | 589 Union Ave, Pittsburgh, PA 15202-2958 | 2017-06-02 |
| 1942750336 | Karen Good | Counselor | 1 S Kauffman Aly, Manheim, PA 17545-1431 | 2016-10-10 |
| 1922555077 | Lynda Finan | Counselor | 474 Grove Street, Wayne Highlands School District, Honesdale, PA 18431-6605 | 2016-09-07 |
| 1033665765 | Henry Lewis | Counselor | 210 Felton Ave, Sharon Hill, PA 19079-2105 | 2016-09-01 |
| 1104274208 | Erin Mccarthy Mcmonagle | Counselor | 1079 Maykut Ave, Collegeville, PA 19426-2434 | 2016-05-30 |
| 1114382322 | Christen Rose Stricker | Counselor | 29 Black Matt Rd, Douglassville, PA 19518-9705 | 2015-12-15 |
| 1770966756 | Amanda Anne Lavin | Counselor | 303 7th St, Vandling, PA 18421-1738 | 2015-07-08 |
| 1235535337 | Andrew Byard Jr. | Counselor | 2140 Ellsworth St, Phila, PA 19146-2828 | 2014-11-17 |
| 1124434303 | Kayla Petronella | Counselor | 305 Saint John St, Catasauqua, PA 18032-1137 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on JUSTIN BULLOCK.
| 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.