KORY ANTONACCI (NPI# 1164943072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164943072 |
| Entity Type | Individual |
| Full Name | KORY ANTONACCI |
| Credential | M.S.ED., MT-BC, LPC |
| Practice Address |
800 Old Pond Rd Ste 706b Bridgeville PA 15017-3415 |
| Mailing Address |
800 Old Pond Road Suite 706 B Bridgeville PA 15017 |
| Practice Telephone | 4126953232 |
| Mailing Telephone | 4122065849 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC009707 | PA | Behavioral Health & Social Service Providers |
| Street Address |
800 OLD POND RD STE 706B |
| City | BRIDGEVILLE |
| State | PA |
| Zip Code | 15017-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063945970 | Jacob Aaron Wheatley | Counselor | 800 Old Pond Rd Ste 706b, Bridgeville, PA 15017-3415 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689082612 | Children's Community Pediatrics | Dentist | 205 Millers Run Road, 3rd Floor, Bridgeville, PA 15017 | 2014-07-22 |
| 1578973558 | Calm Waters LLC | Community/Behavioral Health | 1840 Mayview Road, Suite 204, Pittsburgh, PA 15017 | 2014-04-30 |
| 1962753418 | Jessica Lynn Torick | Counselor | 300 Old Pond Rd Ste 201, Bridgeville, PA 15017 | 2012-09-24 |
| 1588944664 | Peter E Schmidt | Case Manager/Care Coordinator | 316 Sation St. #100, Bridgeville, PA 15017 | 2011-08-22 |
| 1912202052 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 200 Villani Drive Ste 3003, Bridgeville, PA 15017 | 2011-01-21 |
| 1427358118 | Fredrick Andrew Faust | Physical Therapy Assistant | 3564washington Pike, Bridgeville, PA 15017 | 2010-10-27 |
| 1033260120 | Allan W. Clark | Psychiatry & Neurology | South Hills Recovery Project, 850 Boyce Road Suite 2, Bridgeville, PA 15017 | 2007-01-15 |
| 1306921564 | Natalie Marie Russo | Psychologist | 316 Station Street, Bridgeville, PA 15017 | 2006-10-26 |
| 1770676496 | Scott Brenden Stephens | Pharmacist | 500 Old Pond Road, Suite 506, Bridgeville, PA 15017 | 2006-10-02 |
| 1225045115 | Louis Emil Damich Jr. | Dentist | 212 Washington Ave, Bridgeville, PA 15017 | 2006-08-02 |
| Find all providers in zip 15017 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849809 | Angela Kathleen Joyce | Counselor | 800 Old Pond Rd Ste 706d, Bridgeville, PA 15017-3415 | 2019-09-11 |
| 1720550437 | Shannon Caroline Scott | Counselor | 850 Boyce Rd Ste 9, Bridgeville, PA 15017-1541 | 2018-12-19 |
| 1568984052 | Joan M Siebert | Counselor | 800 Old Pond Rd Ste 706c, Bridgeville, PA 15017-3415 | 2017-07-17 |
| 1063945970 | Jacob Aaron Wheatley | Counselor | 800 Old Pond Rd Ste 706b, Bridgeville, PA 15017-3415 | 2017-04-07 |
| 1396293247 | Ashley Julin | Counselor | 3117 Washington Pike Ste 100, Bridgeville, PA 15017-1442 | 2016-09-20 |
| 1972959369 | Sara Emery | Counselor | 412 Darby Way Ste 9, Bridgeville, PA 15017-2343 | 2016-05-04 |
| 1194109017 | South Hills Wellness Group, LLC | Counselor | 412 Darby Way, 5 & 7, Bridgeville, PA 15017-2343 | 2015-07-10 |
| 1548663198 | Allison Mazzoleni | Counselor | 800 Old Pond Rd, Suite 702a, Bridgeville, PA 15017-3415 | 2014-09-26 |
| 1255746764 | Mary Macik | Counselor | 800 Old Pond Rd # R, 702, Bridgeville, PA 15017-3415 | 2014-06-23 |
| 1962753418 | Jessica Lynn Torick | Counselor | 300 Old Pond Rd Ste 201, Bridgeville, PA 15017 | 2012-09-24 |
| Find all providers in BRIDGEVILLE | ||||
| City | BRIDGEVILLE |
| Zip Code | 15017 |
Please comment or provide details below to improve the information on KORY ANTONACCI.
| 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.