MR. MICHAEL THOMAS DECRISTOFARO (NPI# 1275091829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275091829 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS DECRISTOFARO |
| Credential | LMFT |
| Practice Address |
22 Northeast Dr Hershey PA 17033-2732 |
| Mailing Address |
175 Oxford Rd Annville PA 17003-8663 |
| Practice Telephone | 7175318338 |
| Practice Fax Number | 7175316250 |
| Mailing Telephone | 7178845816 |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2019-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000877 | PA | Behavioral Health & Social Service Providers |
| Street Address |
22 NORTHEAST DR |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700835477 | Lidija Petrovic-dovat | Psychiatry & Neurology | 22 Northeast Dr, Hershey, PA 17033-2732 | 2006-05-09 |
| 1265948079 | Jesse R Northridge | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-12-18 |
| 1184140303 | Marci J Houck | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-08-18 |
| 1356871644 | Autumn Joy Kujawa | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-06-19 |
| 1417484833 | Dahlia Mukherjee | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-16 |
| 1447786421 | Mohammad Ali Humza Salim | Student in an Organized Health Care Education/Training Program | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-11 |
| 1336673599 | Sierra L Brown | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-04-14 |
| 1508317082 | Stephanie F Harvison | Counselor | 22 Northeast Dr, Hershey, PA 17033-2732 | 2016-10-19 |
| 1487006144 | Chelsea Kay Belles | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2016-07-06 |
| 1124491261 | Veronica Mia Jusino | Counselor | 22 Northeast Dr, Hershey, PA 17033-2732 | 2015-11-12 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770792830 | Karen Thrush | Marriage & Family Therapist | 527 W Chocolate Ave Fl 2, Hershey, PA 17033-1663 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033401 | Scott A. Schmidt | Marriage & Family Therapist | 39 W Main Avenue, Myerstown, PA 17067 | 2020-11-04 |
| 1235738592 | Julia Mcgrath | Marriage & Family Therapist | 170 Cotton St Apt 205, Philadelphia, PA 19127-1445 | 2020-10-19 |
| 1700484516 | Sarah Macnerland-barak | Marriage & Family Therapist | 6508 Interlaken Ext, Mc Donald, PA 15057-3582 | 2020-10-14 |
| 1629684832 | Jennifer Shortelle | Marriage & Family Therapist | 200 N 16th St Apt 1901, Philadelphia, PA 19102-1211 | 2020-09-22 |
| 1699381442 | Wendell H Scanterbury | Marriage & Family Therapist | 7750 Clements Rd, Wyncote, PA 19095-2304 | 2020-09-17 |
| 1255946687 | Joanna Norris | Marriage & Family Therapist | 3855 Blair Mill Rd Apt 246k, Horsham, PA 19044-2892 | 2020-09-11 |
| 1588279335 | Megan Lynn Will | Marriage & Family Therapist | 54 N Penryn Rd, Manheim, PA 17545-9326 | 2020-09-09 |
| 1336754225 | Sage Regina | Marriage & Family Therapist | 1533 S Bouvier St, Philadelphia, PA 19146-4745 | 2020-09-09 |
| 1427662493 | Taryn Cain-strobel | Marriage & Family Therapist | 42 E Front St Ofc 4, Media, PA 19063-2942 | 2020-09-07 |
| 1376157057 | Charmaine Ensinger | Marriage & Family Therapist | 338 Mercy St, Philadelphia, PA 19148-2632 | 2020-09-01 |
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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.