JENNIFER ELDRIDGE PH. D. (NPI# 1275159329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275159329 |
| Entity Type | Organization |
| Organization Name | JENNIFER ELDRIDGE PH. D. |
| Practice Address |
52 Pine Creek Rd Ste 200 Wexford PA 15090-9366 |
| Practice Telephone | 7247197603 |
| Mailing Telephone | 7247197603 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | JENNIFER JO ELDRIDGE (OWNER) |
| Authorized Official Telephone | 7247197603 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101231103 | 05 |
| Street Address |
52 PINE CREEK RD STE 200 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730360744 | Scott Frederick Kaper | Psychologist | 101 Bradford Rd Ste 239, Wexford, PA 15090-6909 | 2007-11-19 |
| 1023200805 | Annalisa Angelica Almendras | Psychologist | 101 Bradford Rd Ste 212, Wexford, PA 15090-6909 | 2007-08-15 |
| 1851848584 | Kaylee Curilla | Psychologist | 117 Vip Dr, Suite 310, Wexford, PA 15090-6932 | 2016-09-11 |
| 1841597531 | Allison Gardner Bashe | Psychologist | 117 Vip Dr, Suite 310, Wexford, PA 15090-6932 | 2011-02-16 |
| 1598922593 | Tara J Gunther | Psychologist | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2008-05-19 |
| 1871719864 | Jeffrey B. Wolfe | Psychologist | 103 N Meadows Dr, Suite 210, Wexford, PA 15090-8369 | 2007-04-18 |
| 1164565842 | Carol Javna | Psychologist | 6200 Brooktree Rd, Suite 110, Wexford, PA 15090-9299 | 2007-02-14 |
| 1043391147 | Francis Richard Kush | Psychologist | 117 Vip Dr Ste 310, Wexford, PA 15090-6936 | 2006-10-17 |
| 1467559807 | Frederick Bruce Rohrs | Psychologist | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2006-09-20 |
| 1366452468 | Stephanie Kim Phillips | Psychologist | 10475 Perry Hwy, Town Centre, Ste 300, Wexford, PA 15090-9274 | 2006-08-09 |
| Find all providers in WEXFORD | ||||
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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.