ROSE RESILIENCY CENTER (NPI# 1104261213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104261213 |
| Entity Type | Organization |
| Organization Name | ROSE RESILIENCY CENTER |
| Practice Address |
2557 Route 940 Suite 102 Pocono Summit PA 18346 |
| Mailing Address |
Po Box 329 Mount Pocono PA 18344-0329 |
| Practice Telephone | 8663435509 |
| Practice Fax Number | 5708395392 |
| Mailing Telephone | 8663435509 |
| Mailing Fax Number | 5708395392 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | MR. WILLIAM FREEMAN IV (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8663435509 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | SECOND HAVEN SERVICES FOR YOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MD037460L | PA | Behavioral Health & Social Service Providers |
| Street Address |
2557 ROUTE 940 SUITE 102 |
| City | POCONO SUMMIT |
| State | PA |
| Zip Code | 18346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417304809 | Sharon M Graaf | Nurse Practitioner | 2557 Route 940, Suite 102, Pocono Summit, PA 18346-7839 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487131587 | Summit Smiles Pllc | Clinic/Center | 2633 Pa-940, Pocono Summit, PA 18346 | 2018-07-23 |
| 1003241274 | Optical Nei Inc. | Eyewear Supplier (Equipment, not the service) | Rt. 940, Pocono Summit Plaza, Pocono Summit, PA 18346 | 2013-09-06 |
| 1447691654 | Stephanie Childs | Dentist | 2633 Route 940, Pocono Summit, PA 18346 | 2013-07-16 |
| 1588915813 | Jennifer Jean Mcgovern | Nurse Practitioner | 158 Joseph Lane, Pocono Summit, PA 18346 | 2012-09-26 |
| 1427062934 | Michael P Olinits | Dentist | Pocono Summit Plaza, Rt 940, Pocono Summit, PA 18346 | 2006-07-28 |
| 1487681029 | Mary Agnes Piechota | Specialist/Technologist | Pocono Mountain West Highschool, Hc 89 Box 2002 Route 940, Pocono Summitt, Pa., PA 18346 | 2006-06-27 |
| 1750567020 | Alexander Jon Holtzman | Chiropractor | Route 940 West, Pocono Summit, PA 18346-0346 | 2008-01-16 |
| 1881692614 | Jeffery Joseph Sukenick | Physical Therapist | Route 940, Fam Bros Plaza, Pocono Summit, PA 18346-0627 | 2005-07-14 |
| 1558387639 | Summit Physical Therapy Inc | Physical Therapist | Route 940, Pocono Summit Plaza, Pocono Summit, PA 18346-0627 | 2006-07-14 |
| 1043373731 | Giacalone Healthcare Inc | Chiropractor | 716 Route 940, Pocono Summit, PA 18346-0729 | 2006-12-18 |
| Find all providers in zip 18346 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679814891 | Garg Behavioral Health, PC | Psychologist | 702 Autumn River Run, Philadelphia, PA 19128-4359 | 2013-03-13 |
| 1871868240 | William Patrick Fowler | Psychologist | 190 Presidential Blvd Unit 510, Bala Cynwyd, PA 19004-1159 | 2012-03-18 |
| 1053649178 | Second Haven Services for Youth Inc. | Psychologist | 633 Lakeside Dr, Tobyhanna, PA 18466-9792 | 2009-12-01 |
| 1174735518 | Nemesia G. Castro | Psychologist | 4301 Rising Sun Ave, Philadelphia, PA 19140-2719 | 2007-05-06 |
| 1831311687 | Feliks Shapiro | Psychologist | 1631 Rockcress Dr, Jamison, PA 18929-1646 | 2007-05-02 |
| 1316166226 | Cory De Torres | Psychologist | 2129 Spring Garden St, Philadelphia, PA 19130-3503 | 2007-04-25 |
| 1497973911 | Judith Temple Jackson | Psychologist | 125 Coulter Ave, Floor 2, Ardmore, PA 19003-2410 | 2007-04-22 |
| 1457740797 | The Center for Allied Psychiatry & Psychology Services | Psychologist | 404 E High St, Pottstown, PA 19464-5622 | 2015-01-09 |
| 1114253770 | Bbh, LLC | Psychologist | 70 2nd St, Brookville, PA 15825-1556 | 2009-11-02 |
| 1902057045 | Baron T. Denniston M.d. | Psychologist | 150 E 8th St, Erie, PA 16501-1269 | 2008-10-07 |
| Find all providers with the same taxonomy | ||||
| City | POCONO SUMMIT |
| Zip Code | 18346 |
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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.