PSYCHOLOGY AND LEARNING CENTER (NPI# 1104993864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104993864 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGY AND LEARNING CENTER |
| Practice Address |
3428 Brodhead Rd Monaca PA 15061 |
| Mailing Address |
3428 Brodhead Rd Monaca PA 15061-3132 |
| Practice Telephone | 7247286670 |
| Practice Fax Number | 7247285570 |
| Mailing Telephone | 7247286670 |
| Mailing Fax Number | 7247285570 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | DR. GARY KOCH (PSYCHOLOGIST) |
| Authorized Official Telephone | 7247286670 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Market St, Beaver, PA 150092998 | 7247286670 | 7247285570 |
| 337 3rd St, Beaver, PA 150092302 | 7247286670 | 7247285570 |
| Street Address |
3428 BRODHEAD RD |
| City | MONACA |
| State | PA |
| Zip Code | 15061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146968 | Benjamin Alberto Laracuente | Internal Medicine | 3428 Brodhead Rd, Monaca, PA 15061-3132 | 2005-06-28 |
| 1831797265 | Catherine Carole Sittig | Counselor | 3428 Brodhead Rd, Monaca, PA 15061-3132 | 2020-10-16 |
| 1437580081 | Tri-state Pulmonary Medical Practice | Internal Medicine | 3428 Brodhead Rd, Monaca, PA 15061-3132 | 2013-12-09 |
| 1144459249 | Jeffrey Houk | Physician Assistant | 3428 Brodhead Rd, Monaca, PA 15061-3132 | 2009-07-09 |
| 1568618114 | Psychology and Learning Center, P.C. | Psychologist | 3428 Brodhead Rd, Monaca, PA 15061 | 2008-08-14 |
| 1902860026 | S L Wilcox Health Services | Family Medicine | 3428 Brodhead Rd, Monaca, PA 15061-3132 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498910 | Ashley Lynn Bell | Physician Assistant | 3944 Brodhead Road, Suite 7b, Monaca, PA 15061 | 2015-10-06 |
| 1902193105 | Robert Martin Niedermeyer Jr. | Pharmacist | 87 Wagner Road, Monaca, PA 15061 | 2011-07-08 |
| 1033416979 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 118 Wagner Rd, Monaca, PA 15061 | 2011-02-11 |
| 1326275595 | Tri-state Medical Group, Inc. | Internal Medicine | Route 18 Wal-mart Shopping Plaza, Heritage Valley Convenient Care-monaca, Monaca, PA 15061 | 2009-06-16 |
| 1053560888 | Beth Ann Klump | Physician Assistant | 3572 Brodhead Rd., Suite 301, Monaca, PA 15061 | 2008-09-17 |
| 1376687954 | Luke E Stall | Radiology | 3582 Brodhead Rd Ste 204, Monaca, PA 15061 | 2007-02-16 |
| 1063595684 | Wal-mart Stores East, Lp | Technician/Technologist | Pa. Rt.18/wal-mart Plaza Shpg., Monaca, PA 15061 | 2006-10-24 |
| 1366533945 | Regine Lydie Bataille-gossard | Optometrist | Walmart Vision Center, Walmart Plaza Route 18, Monaca, PA 15061 | 2006-09-27 |
| 1346341708 | Richa Bajaj | Dentist | 125 Wagner Rd, Monaca, PA 15061 | 2006-09-26 |
| 1538265319 | David Walter Jaskiewicz | Optometrist | Route 18, Walmart Plaza, Monaga, PA 15061 | 2006-09-16 |
| Find all providers in zip 15061 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 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.