CAROLYN I. VICCHIULLO, PSY.D., PC (NPI# 1235305210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235305210 |
| Entity Type | Organization |
| Organization Name | CAROLYN I. VICCHIULLO, PSY.D., PC |
| Practice Address |
2030 Lehigh St Suite 107 Easton PA 18042-3853 |
| Practice Telephone | 6102538900 |
| Practice Fax Number | 6102537062 |
| Mailing Telephone | 6102538900 |
| Mailing Fax Number | 6102537062 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. CAROLYN I. VICCHIULLO (PRESIDENT) |
| Authorized Official Telephone | 6102538900 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS015116 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CBC | 03183600 | 01 | |
| PA | MAGELLAN | 262019000 | 01 |
| HIGHMARK | 1765117 | 01 |
| Street Address |
2030 LEHIGH ST SUITE 107 |
| City | EASTON |
| State | PA |
| Zip Code | 18042-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942272257 | Richard Joseph Miller | Psychologist | 2030 Lehigh St, # 107, Easton, PA 18042-3855 | 2006-02-02 |
| 1851648372 | Pracheta N Trivedi | Counselor | 2030 Lehigh St, 107, Easton, PA 18042-3853 | 2012-08-15 |
| 1205071040 | Elizabeth A Assande | Audiologist | 2030 Lehigh St, #1h Center for Audiology Services Janet Westlund Aud, Easton, PA 18042 | 2008-12-09 |
| 1720170046 | Holland Counseling Associates, P. C. | Counselor | 2030 Lehigh St, Suite 110, Easton, PA 18042-3853 | 2006-09-28 |
| 1801992821 | Clay Holland IIi | Social Worker | 2030 Lehigh St, Suite 110, Easton, PA 18042-3853 | 2006-09-16 |
| 1700999851 | Edward Alan Bloss | Social Worker | 2030 Lehigh St, Suite 110, Easton, PA 18042-3853 | 2006-08-15 |
| 1366450777 | Mm Irani Md PC | Specialist | 2030 Lehigh St, # 116, Easton, PA 18042 | 2006-08-03 |
| 1194798108 | Carolyn I Vicchiullo | Psychologist | 2030 Lehigh St, Suite #107, Easton, PA 18042-3853 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1447770342 | Kimberly Vosbury | Occupational Therapy Assistant | 1926 Fairview Avenue, Easton, PA 18042 | 2017-06-21 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1619325446 | Vinay V Bajaj | Surgery | 250 S. 21st Street, Easton Hospital, Easton, PA 18042 | 2016-06-02 |
| 1457709941 | Matthew Bayly | Specialist/Technologist | 750 West Pierce Street, 132 Kirby Sports Center, Easton, PA 18042 | 2016-05-25 |
| 1063881753 | Mackenzie Sara Hubert | Chiropractor | 524 Northampton St, Easton, PA 18042 | 2015-09-23 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| Find all providers in zip 18042 | ||||
| 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 |
|---|---|---|---|---|
| 1538507462 | Melissa Marie Garrison | Psychologist | 101 Larry Holmes Dr, Suite 505, Easton, PA 18042-7727 | 2013-06-13 |
| 1912110461 | Susan A. Basow | Psychologist | 209 Paxinosa Road East, Easton, PA 18040-1334 | 2007-05-08 |
| 1295819399 | Richard R Greenbaum | Psychologist | 8706 Commerce Dr, Easton, MD 21601-6903 | 2006-10-25 |
| 1477635548 | Liane Marie Pioli | Psychologist | 50 Sanford Dr, Easton, CT 06612-1423 | 2006-10-19 |
| 1841387669 | Valerie Lamont | Psychologist | 114 N Washington Street, Suite 25 30 Ste 30, Easton, MD 21601 | 2006-10-05 |
| 1215024039 | Wendy Sue Kraus | Psychologist | 114 North Washington St, Suite 25 30, Easton, MD 21601 | 2006-10-05 |
| 1356367346 | Virginia B Blatchley | Psychologist | 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 | 2006-07-14 |
| 1326078171 | Gary Clifford Goodwin | Psychologist | 331 Cattell St, Easton, PA 18042-7607 | 2006-07-04 |
| 1942272257 | Richard Joseph Miller | Psychologist | 2030 Lehigh St, # 107, Easton, PA 18042-3855 | 2006-02-02 |
| 1568972289 | Adeline Tryon | Psychologist | 111 N West St Ste H, Easton, MD 21601-2760 | 2017-10-08 |
| Find all providers in EASTON | ||||
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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.