EXTON BEHAVIORAL HEALTH & REHABILITATION, LLC (NPI# 1184031684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184031684 |
| Entity Type | Organization |
| Organization Name | EXTON BEHAVIORAL HEALTH & REHABILITATION, LLC |
| Practice Address |
766 W Lincoln Hwy Exton PA 19341-2547 |
| Practice Telephone | 6108732233 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | LORI SAWICKI (DIRECTOR OF CONTRACTS) |
| Authorized Official Telephone | 6108732233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS015595 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538131404 | Exton Behavioral Health & Rehabilitation, LLC | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EXTON BEHAVIORAL HEALTH & REHABILITATION, LLC | 766 W Lincoln Hwy, Exton, PA 19341-2547 |
| Street Address |
766 W LINCOLN HWY |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319307 | Steven D. Hulcher | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-01-07 |
| 1184977431 | Exton Behavioral Health & Rehabilitation | Clinical Neuropsychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2012-10-24 |
| 1609123876 | Patrick S Yingling | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2012-08-07 |
| 1588813091 | Sara Kathryn Salib | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2008-09-09 |
| 1558467761 | Theodore S Nam | Psychiatry & Neurology | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-09-15 |
| 1417962283 | Carin Dee Venditta | Social Worker | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-07-30 |
| 1598720831 | Patricia Morello IIi | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-04-19 |
| 1538131404 | Exton Behavioral Health & Rehabilitation, LLC | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-02-06 |
| 1790763845 | Leah Greenwood | Psychologist | 766 W Lincoln Hwy, Exton, PA 19341-2547 | 2006-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088280 | Erin Roemer | Psychologist | 47 Marchwood Rd Ste 2-h, Exton, PA 19341-1838 | 2015-11-25 |
| 1912170747 | Barbara Caffrey | Psychologist | 431 Exton Cmns Ofc Campus, Exton, PA 19341-2451 | 2008-04-13 |
| 1437217510 | Carole Koff-sklar | Psychologist | 47 Marchwood Road, Suite 1k, Exton, PA 19341 | 2006-12-04 |
| 1255394250 | Michael Charles Frank | Psychologist | 659 Exton Cmns, Exton, PA 19341-2446 | 2006-04-10 |
| 1467923938 | Danielle Kaiser, Psy.d., LLC | Psychologist | 50 W Welsh Pool Rd, Exton, PA 19341-1200 | 2018-12-10 |
| 1912482985 | Lori Nelsen Luneburg, Phd, Pllc | Psychologist | 50 W Welsh Pool Rd, Exton, PA 19341-1200 | 2018-09-26 |
| 1639563992 | Anthony Diguglielmo | Psychologist | 467 Creamery Way, Exton, PA 19341-2508 | 2015-03-25 |
| 1295148393 | Bethany Dudash | Psychologist | 467 Creamery Way, Exton, PA 19341-2508 | 2014-06-05 |
| 1518378926 | Megan Christiansen | Psychologist | 390 Waterloo Blvd, Exton, PA 19341-2603 | 2014-05-20 |
| 1821425000 | Andrea Parry | Psychologist | 467 Creamery Way, Exton, PA 19341-2508 | 2013-10-02 |
| Find all providers in EXTON | ||||
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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.