BLUESTEM BEHAVIORAL HEALTH GROUP LLC (NPI# 1265532600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265532600 |
| Entity Type | Organization |
| Organization Name | BLUESTEM BEHAVIORAL HEALTH GROUP LLC |
| Practice Address |
336 College Ave Ste 104 Beaver PA 15009-2231 |
| Practice Telephone | 7247741404 |
| Mailing Telephone | 7247741404 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DAVID SPRENKEL (OWNER) |
| Authorized Official Telephone | 7247741404 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA BS | 1454844 | 01 |
| Street Address |
336 COLLEGE AVE STE 104 |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538320262 | Bluestem Behavioral Health | Psychologist | 336 College Ave, Beaver, PA 15009-2231 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357263 | Nina Kasser Sidell | Psychologist | 1601 Heard Dr, Maple Glen, PA 19002-3163 | 2019-07-16 |
| 1760902753 | Harmony Wellness Group Inc | Psychologist | 9150 Marshall St Ste 16, Philadelphia, PA 19114-2217 | 2017-06-21 |
| 1619193000 | Mary Theresa Reaney | Psychologist | 31 Bishop Hollow Rd, Newtown Square, PA 19073 | 2007-04-17 |
| 1437238128 | Wes Corpration | Psychologist | 1321 Arch St Ste 201, Philadelphia, PA 19107-2116 | 2006-11-03 |
| 1740249630 | Thaddeus Michael Midas | Psychologist | 701 Bridge St, Suite 206, Lehighton, PA 18235-1800 | 2006-03-21 |
| 1578934048 | Janice Price, M.a. | Psychologist | 86 W Adamsdale Rd, Schuylkill Haven, PA 17972-8625 | 2015-10-09 |
| 1598167553 | Forensic Mental Health Service, LLC | Psychologist | 1241 Vine St, Philadelphia, PA 19107-1111 | 2014-09-22 |
| 1598025421 | Catholic Charities of The Diocese of Harrisburg, Pa | Psychologist | 333 N Arch St, Selh Arch Street Center, Lancaster, PA 17603-2928 | 2012-05-25 |
| 1083998934 | Vision Counseling Services,llc | Psychologist | 1843 Route 209, Safeway Storage Complex, Brodheadsville, PA 18322-7134 | 2011-10-10 |
| 1851693956 | The Stern Center of Allegheny | Psychologist | 21 Yost Blvd, Cost Commons 5, Suite 303, Pittsburgh, PA 15221-5283 | 2010-11-22 |
| 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.