MR. JOSEPH MACK (NPI# 1114075736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114075736 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH MACK |
| Practice Address |
2000 Old West Chester Pike Havertown PA 19083-2712 |
| Mailing Address |
1600 Garrett Rd Apt. F312 Upper Darby PA 19082-4472 |
| Practice Telephone | 4844548700 |
| Practice Fax Number | 4844548710 |
| Mailing Telephone | 4844548700 |
| Mailing Fax Number | 4844548710 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC004107 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346778479 | Joseph Mack | Physical Therapist | 6500 Northwest Hwy, Crystal Lake, IL 60014-3117 | 2017-06-02 |
| 1114380615 | Joseph Dominic Mack | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2016-04-01 |
| 1548392913 | Joseph E Mack | Counselor | 601 Gregg Avenue, Circle Park Behavioral Health Services, Florence, SC 29502-6196 | 2007-03-12 |
| 1669581880 | Joseph Alexander Mack | Hospitalist | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2006-08-30 |
| 1912931031 | Joseph A Mack | Specialist | 49 2nd St, Presque Isle, ME 04769-2637 | 2006-07-11 |
| 1467439745 | Joseph Michael Mack | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2005-12-28 |
| Street Address |
2000 OLD WEST CHESTER PIKE |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811936065 | Adrianne L Cantor | Internal Medicine | 2000 Old West Chester Pike, Havertown, PA 19083 | 2006-06-05 |
| 1821696535 | Angena Mombrun | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-10-14 |
| 1063010981 | Angel Tansy Lee Myers | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-10-13 |
| 1831705169 | Haley Smith | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-09-22 |
| 1982214573 | Amanda Higgins | Social Worker | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-08-07 |
| 1063034254 | Emily Conroy | Speech-Language Pathologist | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-05-11 |
| 1962024216 | Jody Ann Nicosia | Physical Therapist | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-05-09 |
| 1609403401 | Gabriel Tobin Smith | Social Worker | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-03-24 |
| 1538707807 | Roberta Joy Brown | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2019-12-17 |
| 1366092108 | Elena Maria Sciandra | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838822 | Arielle Manganiello | Counselor | 2000 W Chester Pike, Havertown, PA 19083-2713 | 2020-07-17 |
| 1407315724 | Kathleen Clarke | Counselor | 1315 Leedom Rd, Havertown, PA 19083-4803 | 2019-03-16 |
| 1053478610 | Gerald F. O'leary | Counselor | 412 E Eagle Rd, Havertown, PA 19083-1635 | 2007-01-03 |
| 1932717311 | Laura Lemon | Counselor | 1120 W Township Line Rd, Havertown, PA 19083-4930 | 2020-07-21 |
| 1538521810 | Barbara Hayward | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2016-03-24 |
| 1285090894 | Donna Bayliss | Counselor | 525 W Chester Pike, Suite 314, Havertown, PA 19083-4500 | 2016-01-12 |
| 1588034797 | James L Jacobs | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2015-09-30 |
| 1447687702 | Karisa N Taparata | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2013-10-02 |
| 1922367770 | Tina Michelle Scott | Counselor | 222 S Manoa Rd, Havertown, PA 19083-3300 | 2012-05-15 |
| 1104182971 | Lola R Georg | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2012-04-06 |
| Find all providers in HAVERTOWN | ||||
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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.