THE MILTON S. HERSHEY MEDICAL CENTER (NPI# 1245376821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245376821 |
| Entity Type | Organization |
| Organization Name | THE MILTON S. HERSHEY MEDICAL CENTER |
| Other Organization Name | OUTPATIENT PSYCH CLINIC-GOVERNOR RD |
| Practice Address |
905 W Governor Rd Briarcrest Square, Suite 250 Hershey PA 17033-2307 |
| Mailing Address |
Po Box 856 Mc A410 Hershey PA 17033-0856 |
| Practice Telephone | 7175317235 |
| Practice Fax Number | 7175310067 |
| Mailing Telephone | 7175311159 |
| Mailing Fax Number | 7175317269 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | STEPHEN M MASSINI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7175318405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
327730 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007653100030 | 05 |
| Other Name | Type Code |
|---|---|
| Outpatient Psych Clinic-Governor Rd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902283799 | The Milton S. Hershey Medical Center | Pharmacy | 30 Hope Dr Ste 1005, Hershey, PA 17033-2036 | 2015-04-30 |
| 1902170186 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr Suite 1200, Hershey, PA 17033-2360 | 2012-03-06 |
| 1134460074 | The Milton S. Hershey Medical Center | Clinic/Center | 2494 Bernville Rd, Suite 106, Reading, PA 19605-9469 | 2013-03-01 |
| 1528315645 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Suite T1100, Hershey, PA 17033-2360 | 2012-08-08 |
| 1730313131 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Psci Suite T1100, Hershey, PA 17033-2360 | 2009-05-13 |
| 1144406844 | The Milton S. Hershey Medical Center | Pharmacy | 30 Hope Dr, Suite 1005, Hershey, PA 17033-2036 | 2008-01-14 |
| 1477693737 | The Milton S. Hershey Medical Center | Clinic/Center | 22 Northeast Dr, Hershey, PA 17033-2732 | 2007-02-07 |
| 1427195494 | The Milton S. Hershey Medical Center | Clinic/Center | 500 University Dr, Hershey, PA 17033-2360 | 2007-01-31 |
| 1336286301 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Hershey, PA 17033-2360 | 2007-01-31 |
| 1417094624 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Upc Suite 1200, Hershey, PA 17033-2360 | 2007-01-30 |
| Street Address |
905 W GOVERNOR RD BRIARCREST SQUARE, SUITE 250 |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985445 | Hershey Endoscopy Center, LLC | Clinic/Center | 905 W Governor Rd, Suite 100, Hershey, PA 17033-2307 | 2005-07-07 |
| 1720629322 | Susan Elizabeth Gilbert | Dietitian, Registered | 905 W Governor Rd, Hershey, PA 17033-2307 | 2019-10-04 |
| 1104393909 | Maryellen Schultze | Registered Nurse | 905 W Governor Rd, Hershey, PA 17033-2307 | 2018-10-30 |
| 1780128074 | Anita C Lugo | Nurse Practitioner | 905 W Governor Rd, Suite 300, Hershey, PA 17033-2307 | 2016-12-06 |
| 1235540782 | Rosemary Claire Roden | Pediatrics | 905 W Governor Rd, Hershey, PA 17033-2307 | 2014-05-17 |
| 1902143332 | Pamela J Castilow | Registered Nurse | 905 W Governor Rd, Hershey, PA 17033-2307 | 2013-01-04 |
| 1104117480 | The Milton S. Hershey Medical Center Physician Group | Social Worker | 905 W Governor Rd, Hershey, PA 17033-2307 | 2011-04-21 |
| 1356660195 | Rebecca Lynn Moore | Nurse Practitioner | 905 W Governor Rd, Suite 250, Hershey, PA 17033-2310 | 2010-05-19 |
| 1770736050 | Ashley P Lowe | Dietitian, Registered | 905 W Governor Rd, Hershey, PA 17033-2307 | 2008-10-30 |
| 1689880999 | Fauzia S Mahr | Pediatrics | 905 W Governor Rd, Suite 200, Hershey, PA 17033-2307 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876507 | Timothy S Zeiger Psyd Pllc | Clinic/Center | 1512 E Caracas Ave Ste 300, Hershey, PA 17033-1184 | 2019-11-21 |
| 1386784379 | The Milton S Hershey Medical Center | Clinic/Center | 905 W Governor Rd, Suite 250, Hershey, PA 17033-2307 | 2007-02-07 |
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|---|---|---|---|---|
| 1255930368 | Marley's Mission Inc | Clinic/Center | 2150 Port Royal Rd, Clarks Summit, PA 18411-9660 | 2020-10-20 |
| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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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.