MRS. ERIN KATHLEEN SHORT (NPI# 1104465897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104465897 |
| Entity Type | Individual |
| Full Name | MRS. ERIN KATHLEEN SHORT |
| Practice Address |
1022 Hamburg Tpke Wayne NJ 07470-3209 |
| Mailing Address |
123 Harvest Ln Lincoln Park NJ 07035-2045 |
| Practice Telephone | 9736941234 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423324 | Erin Michelle Short | Physical Therapist | 2311 Stonewood Lane, Lexington, KY 40509 | 2015-12-21 |
| 1972910420 | Erin Short | Behavioral Analyst | 3325 N University Dr, Coral Springs, FL 33065-4162 | 2014-07-16 |
| Street Address |
1022 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063491967 | Wayne Counseling Center,inc. | Social Worker | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2006-01-10 |
| 1497353353 | Jennifer Scioscia | Marriage & Family Therapist | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2020-10-13 |
| 1083065718 | Jodina Brizell | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2016-06-23 |
| 1114390135 | Estania Noel | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2015-11-13 |
| 1386031102 | Vivian Gemian | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2015-04-20 |
| 1386075729 | Lucille Amato | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2013-12-11 |
| 1174893994 | Kristen Michelle Tamke | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2012-01-10 |
| 1689992869 | Patricia Ann Kramer | Marriage & Family Therapist | 1022 Hamburg Tpke, Wayne Counseling Center and Family Services, Wayne, NJ 07470-3209 | 2010-05-12 |
| 1407080690 | Tara Tzipora Green | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2009-05-04 |
| 1639345119 | Christopher Paul Tomkins | Student in an Organized Health Care Education/Training Program | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2008-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1366776270 | Andra Lee Talley | Counselor | 157 Drummers Ln, Wayne, PA 19087-1525 | 2009-09-24 |
| 1124217393 | Yetunde O. Olojo | Counselor | 37740 Hillcrest Dr, Wayne, MI 48184-1056 | 2007-10-23 |
| 1306983697 | Frances Lynn Baletti | Counselor | 22 Riverview Drive, Wayne, NJ 07470 | 2007-01-30 |
| 1952454944 | Wayne David Robertson | Counselor | 573 Valley Rd Ste 4 B, Wayne, NJ 07470-3552 | 2007-01-21 |
| 1194827188 | Anthony Joseph Giuffre Jr. | Counselor | 35425 W Michigan Ave, Wayne, MI 48184-9800 | 2006-09-01 |
| 1740841733 | Natalie Ann Dodd | Counselor | 35425 W Michigan Ave, Wayne, MI 48184-9800 | 2019-06-21 |
| 1184029647 | Lisa Centeno | Counselor | 2025 Hamburg Tpke, Wayne, NJ 07470-6260 | 2014-10-27 |
| 1851677785 | Nathan Nicholas Houlette | Counselor | 219 Main St, Wayne, NE 68787-1924 | 2011-10-24 |
| 1730319294 | Jolanta Szmuc | Counselor | 450 Hamburg Tpke, Suite 2b, Wayne, NJ 07470-8480 | 2009-07-19 |
| Find all providers in WAYNE | ||||
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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.