MICHAEL T. DEGILIO, PSY.D. P.C. (NPI# 1104051788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104051788 |
| Entity Type | Organization |
| Organization Name | MICHAEL T. DEGILIO, PSY.D. P.C. |
| Practice Address |
811 Blakeslee Boulevard Drive East Suite 80 Lehighton PA 18235 |
| Mailing Address |
811 Blakeslee Boulevard Drive Ease Suite 80 Lehighton PA 18235 |
| Practice Telephone | 6103773311 |
| Practice Fax Number | 6103776265 |
| Mailing Telephone | 6103773311 |
| Mailing Fax Number | 6103776265 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | DR. MICHAEL T. DEGILIO (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 5707783814 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016013 | PA | Behavioral Health & Social Service Providers |
| Street Address |
811 BLAKESLEE BOULEVARD DRIVE EAST SUITE 80 |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1639313224 | Lehigh Valley Physician Group | Internal Medicine | 281 North 12th Street, Suite B, Gnaden Huetten Professional Building, Lehighton, PA 18235 | 2009-04-27 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427178 | Sabrina Hakim | Psychologist | 6001 University Boulevard, Jefferson Center 110, Moon Township, PA 15108-1189 | 2020-11-05 |
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1215541164 | Intellishyft, LLC | Psychologist | 1442 Pottstown Pike # 346, West Chester, PA 19380-1271 | 2020-09-08 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1992314470 | Ashley Gill | Psychologist | 627 Pittsburgh Rd Ste 2, Uniontown, PA 15401-2200 | 2020-07-30 |
| 1427666726 | Chu Chian Chong | Psychologist | 510 Brighton Rd, Collegeville, PA 19426-1756 | 2020-07-22 |
| 1245848027 | Revolutionary Perspectives, LLC | Psychologist | 3-1 Bloomfield Ave, Drexel Hill, PA 19026-5555 | 2020-07-17 |
| 1609494749 | Zachary Seth Stern | Psychologist | 225 N Broad St, Allentown, PA 18104-5347 | 2020-07-06 |
| 1275150021 | Peter Bachman | Psychologist | 3501 Forbes Ave Ste 450, Pittsburgh, PA 15213-3327 | 2020-06-28 |
| 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.