MICHAEL J MIKITISH (NPI# 1134415870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134415870 |
| Entity Type | Individual |
| Full Name | MICHAEL J MIKITISH |
| Credential | PHD |
| Practice Address |
60 Township Line Rd Elkins Park PA 19027-2220 |
| Mailing Address |
101 E Olney Ave Suite 400 Philadelphia PA 19120-2421 |
| Practice Telephone | 2158312400 |
| Mailing Telephone | 2152542630 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS004701L | PA | Behavioral Health & Social Service Providers |
| Street Address |
60 TOWNSHIP LINE RD |
| City | ELKINS PARK |
| State | PA |
| Zip Code | 19027-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041559 | Kristie Y Kim | Acupuncturist | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2005-05-23 |
| 1235605627 | Erin Gaffney | Occupational Therapist | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2018-10-23 |
| 1750875852 | Sarah Elizabeth Lamberton | Physical Therapist | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2018-06-21 |
| 1245748375 | Jessica Marie Zarzycki | Physician Assistant | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2018-01-10 |
| 1811348931 | Mohamed Ahmed | Internal Medicine | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2016-06-29 |
| 1760820203 | Brenda E Castillo | Physical Medicine & Rehabilitation | 60 Township Line Rd, Elkins Park, PA 19027 | 2013-06-06 |
| 1861838237 | Michael J Kwasniewski | Physical Medicine & Rehabilitation | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2013-05-13 |
| 1497090484 | Daniel J Leichter | Psychologist | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2012-12-03 |
| 1962779033 | Annette Michelle Schanz | Physician Assistant | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2011-11-17 |
| 1528343647 | Sheryl Berardinelli | Clinical Neuropsychologist | 60 Township Line Rd, Suite 28, Elkins Park, PA 19027-2220 | 2011-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817915 | Dulie Rene | Nurse Practitioner | 7801 Old York Road, Elkins Park, PA 19027 | 2020-03-26 |
| 1003384926 | Mikael Laursen Brucker | Acupuncturist | 710 Meetinghouse Rd, Elkins Park, PA 19027 | 2018-11-08 |
| 1992289466 | Paragon Home Care LLC | In Home Supportive Care | 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 | 2018-09-20 |
| 1932697406 | Elkins Park Chiropractic Center LLC | Chiropractor | 1831 W. Cheltenham Ave, Elkins Park, PA 19027 | 2018-04-30 |
| 1952802589 | Bilingual Brain Inc. | Speech-Language Pathologist | 610 Old York Road Suite 400, Jenkintown, PA 19027 | 2018-02-28 |
| 1063925618 | Love Thy Neighbor Care Service, LLC | In Home Supportive Care | 939 Township Line Rd Unit 3, Elkins Park, PA 19027 | 2017-11-06 |
| 1679029821 | Mosley Group Inc | Home Health | 7208 Chestnut Ave, 1, Melrose Park, PA 19027 | 2016-08-28 |
| 1740638576 | Einstein Medical Center | Specialist | 60 Township Line Road, Elkins Park, PA 19027 | 2016-06-02 |
| 1457720385 | Effraim Home Care Agency LLC | Home Health | 2001a South John Russell Circle, Elkins Park, PA 19027 | 2015-09-22 |
| 1083044531 | Liberty Human Services, LLC | Community/Behavioral Health | 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 | 2013-11-20 |
| Find all providers in zip 19027 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173884 | Gerry Stefanatos | Clinical Neuropsychologist | 7948 Montgomery Ave, Elkins Park, PA 19027-2644 | 2015-09-09 |
| 1922188788 | Albert Medical Center Corporation | Clinical Neuropsychologist | 1400 Willow Ave Ste B1, Elkins Park, PA 19027-3100 | 2006-10-16 |
| 1528343647 | Sheryl Berardinelli | Clinical Neuropsychologist | 60 Township Line Rd, Suite 28, Elkins Park, PA 19027-2220 | 2011-10-20 |
| 1881890762 | Stephanie Jean Wingate-gardner | Clinical Neuropsychologist | 60 Township Line Rd, Mossrehab Einstein At Elkins Park, Elkins Park, PA 19027-2220 | 2007-06-26 |
| 1275745531 | Eileen Fitzpatrick | Clinical Neuropsychologist | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2007-05-07 |
| 1023153970 | Marnie Sue Nutkowitz | Clinical Neuropsychologist | 60 Township Line Rd, Moss Rehab, Elkins Park, PA 19027-2220 | 2007-02-20 |
| 1790826907 | Julie Pickholtz | Clinical Neuropsychologist | 60 Township Line Rd, Moss Rehab, Elkins Park, PA 19027-2220 | 2007-02-09 |
| 1902944432 | Mary Pelham | Clinical Neuropsychologist | 60 Township Line Rd, Moss Rehab, Elkins Park, PA 19027-2220 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
| 1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
| 1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
| 1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
| 1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
| 1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
| 1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | ELKINS PARK |
| Zip Code | 19027 |
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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.