MAIN LINE NEUROPSYCHOLOGY, PLLC (NPI# 1194065524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194065524 |
| Entity Type | Organization |
| Organization Name | MAIN LINE NEUROPSYCHOLOGY, PLLC |
| Practice Address |
101 Lindenwood Dr Suite 225 Malvern PA 19355-1755 |
| Mailing Address |
101 Lindenwood Dr Ste 225 Malvern PA 19355-1762 |
| Practice Telephone | 6105004700 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | JENNIFER BADGLEY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 6105004700 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS016840 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851684906 | Main Line Neuropsychology, Pllc | Psychologist | 30 S Valley Rd, Suite 207, Paoli, PA 19301-1450 | 2011-05-24 |
| Street Address |
101 LINDENWOOD DR SUITE 225 |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902114622 | Jennifer Badgley | Clinical Neuropsychologist | 101 Lindenwood Dr, Suite 225, Malvern, PA 19355-1755 | 2010-09-15 |
| 1053744201 | Aaa Neuropsychology, LLC | Psychologist | 101 Lindenwood Dr, Suite 225, Malvern, PA 19355-1755 | 2013-08-12 |
| 1679853899 | Farzin Irani | Clinical Neuropsychologist | 101 Lindenwood Dr, Suite 225, Malvern, PA 19355-1755 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279851 | Agnes Habony | Psychologist | 4 Dale Ln, Malvern, PA 19355-1204 | 2016-08-11 |
| 1790069086 | Darren Levin | Psychologist | 1776 N Valley Road, Vfes, Malvern, PA 19355 | 2011-10-05 |
| 1801120795 | Evelyn R Klein | Psychologist | 24 Old Farm Ln, Malvern, PA 19355-8628 | 2009-09-24 |
| 1679764641 | Carol Ann Radich | Psychologist | 914 Saint Andrews Dr, Malvern, PA 19355-3157 | 2007-08-06 |
| 1891911137 | Andrea M. Delligatti | Psychologist | 27 Hillbrook Cir, Malvern, PA 19355-1111 | 2007-04-17 |
| 1962561217 | Brenda H Nobles | Psychologist | 1002 Schneider Drive, Suite 101, Malvern, AR 72104 | 2006-12-06 |
| 1902325111 | Patricia Hillis-clark | Psychologist | 655 Sugartown Road, Malvern, PA 19355 | 2017-09-19 |
| 1285173823 | Dr Sophie Longwill, LLC | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2017-02-15 |
| 1679931810 | Sophie A Longwill | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2016-02-02 |
| 1093088858 | Annette D Telgarsky, PC | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2012-02-09 |
| Find all providers in MALVERN | ||||
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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.