KEVIN MCCULLOUGH (NPI# 1154595080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154595080 |
| Entity Type | Individual |
| Full Name | KEVIN MCCULLOUGH |
| Practice Address |
332 Fifth Ave Suite 214 Mckeesport PA 15132-2633 |
| Practice Telephone | 4126758533 |
| Practice Fax Number | 4126758920 |
| Mailing Telephone | 4126758533 |
| Mailing Fax Number | 4126758920 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619063682 | Kevin J Mccullough | Psychologist | 15456 Ventura Blvd, Suite 201, Sherman Oaks, CA 91403-3018 | 2006-10-05 |
| 1285147793 | Kevin Michael Mccullough | Physician Assistant | 9848 N Tryon St, Charlotte, NC 28262-5512 | 2017-11-07 |
| 1336426329 | Kevin J Mccullough | Pharmacist | 555 S Sunrise Way, Suite 112-113, Palm Springs, CA 92264-7869 | 2011-11-04 |
| 1679609721 | Kevin Alan Mccullough | Pharmacist | 209 E Us Highway 54, El Dorado Springs, MO 64744-1925 | 2007-02-25 |
| 1225163249 | Kevin L. Mccullough | Specialist | 1216 Junction Hwy, Kerrville, TX 78028-4906 | 2007-02-22 |
| Street Address |
332 FIFTH AVE SUITE 214 |
| City | MCKEESPORT |
| State | PA |
| Zip Code | 15132-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235304122 | Loretta Carr | Counselor | 332 Fifth Ave, Mckeesport, PA 15132-2633 | 2008-04-23 |
| 1407020332 | Cecelia A Stack | Counselor | 332 Fifth Ave, Mckeesport, PA 15132-2633 | 2008-04-22 |
| 1083888911 | David Jay Dorfield | Counselor | 332 Fifth Ave, Mckeesport, PA 15132-2633 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
| 1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
| 1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
| 1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
| 1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
| 1700415817 | Stephanie C Otuwa | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-02 |
| 1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
| 1447819198 | Tahreem Ahmad | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 | 2019-06-06 |
| 1174181614 | Malik Ahmad | Student in an Organized Health Care Education/Training Program | Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-30 |
| 1184281198 | Tariq Hassan | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-24 |
| Find all providers in zip 15132 | ||||
| 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 |
|---|---|---|---|---|
| 1962921544 | Mallory Marta | Counselor | 500 Walnut St., 3rd Floor, Mckeesport, PA 15132-2801 | 2017-09-14 |
| 1417490103 | Arti Maharaj | Counselor | 500 Walnut St Fl 3, Mckeesport, PA 15132-2801 | 2016-11-29 |
| 1275982134 | Lydia Adams | Counselor | 500 Walnut St Fl 2, Mckeesport, PA 15132-2801 | 2016-06-10 |
| 1366742330 | Justin Robert Defonso | Counselor | 421 Pasadena Dr, Mckeesport, PA 15133-3615 | 2010-10-25 |
| 1295909117 | Katharine Anderson | Counselor | 335 Fifth Ave, Mckeesport, PA 15132-2624 | 2008-04-22 |
| 1194999029 | Beth A. Nation | Counselor | 332 Fifth Ave Ste 214, Mckeesport, PA 15132-2616 | 2008-04-22 |
| 1073547790 | Tina Marshall | Counselor | 335 Shaw Ave, Mckeesport, PA 15132-2918 | 2006-07-10 |
| 1154351518 | Carol Lingsch | Counselor | 606 Locust St, Mckeesport, PA 15132-2911 | 2006-07-03 |
| 1992280176 | Cassandra Lieb | Counselor | 500 Walnut St Fl 3, Mckeesport, PA 15132-2801 | 2018-10-03 |
| 1427543917 | Heather Dawn Jakub | Counselor | 335 Shaw Ave, Mckeesport, PA 15132-2918 | 2018-06-27 |
| Find all providers in MCKEESPORT | ||||
| City | MCKEESPORT |
| Zip Code | 15132 |
Please comment or provide details below to improve the information on KEVIN MCCULLOUGH.
| 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.