JASON VASTARDIS


Address: 107 Chesley Dr, #5, Media, PA 19063-1760
Phone: 6106446464

JASON VASTARDIS (NPI# 1326583477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326583477
Entity Type Individual
Full Name JASON VASTARDIS
Practice Address 107 Chesley Dr
#5
Media
PA 19063-1760
Mailing Address 680 American Ave
Suite 302
King of Prussia
PA 19406-4023
Practice Telephone 6106446464
Practice Fax Number 6109816078
Mailing Telephone 6106446464
Mailing Fax Number 6109816078
Enumeration Date 2016-12-28
Last Update Date 2016-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC009008 PA Behavioral Health & Social Service Providers

Office Location

Street Address 107 CHESLEY DR
#5
City MEDIA
State PA
Zip Code 19063-1760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841297975 Shivkumar Shivappa Hatti Psychiatry & Neurology 107 Chesley Dr, Unit 4, Media, PA 19063-1760 2005-07-05
1659749646 Paul A Fisher Counselor 107 Chesley Dr, Suite 5, Media, PA 19063-1760 2015-09-08
1538550504 Christina Jane Brochet Dietitian, Registered 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2015-02-12
1730570854 Zachary David Miers Counselor 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2015-02-11
1043629579 Jean-pierre Assouad Psychologist 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2014-08-08
1720418528 Paul J Monahan Counselor 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2013-11-15
1629418108 Jane C Brown Counselor 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2013-06-28
1508119561 Julie J Kimsey-carroll Counselor 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2012-10-16
1346500246 Jennette Rowe Counselor 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2012-05-24
1013280924 Christi C Coakley Counselor 107 Chesley Dr, Unit #5, Media, PA 19063-1760 2012-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538766837 Kimberly Ann Martyn Nurse Practitioner 168 W Baltimore Pike, Media, PA 19063 2020-10-08
1366060220 Yinka Read Clinical Neuropsychologist 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 2020-07-08
1306304522 Caroline Dickerson Speech-Language Pathologist 510 Williamson Cir, Media, PA 19063 2019-03-06
1528544178 Dayeon Cho Nurse Practitioner 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 2018-07-17
1235621400 Joseph Savukinas Registered Nurse Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 2018-06-04
1003331281 Accredited Environmental Technologies, Inc. Contractor 28 N. Pennell Road, Media, PA 19063 2017-08-08
1538684220 Holcomb Associates Inc. Clinic/Center 126 East Baltimore Pike, Gayley Square, Media, PA 19063 2017-08-03
1619498334 Bryan Allen Mizell Specialist/Technologist 324 Crestview Circle, Media, PA 19063 2017-07-03
1427597970 Grow Now Therapy Services LLC. Speech-Language Pathologist 600 N Jackson Street, Media, PA 19063 2017-02-16
1720520216 Kathryn Rauch Counselor 107 Chesley Drive Unit #5, Media, PA 19063 2016-11-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770198350 Kaitlyn Hughes Counselor 1055 E Baltimore Pike Ste 301&303, Media, PA 19063-5173 2020-09-10
1265064125 Jennifer Kathryn Mccullough Counselor 1088 W Baltimore Pike Ste 2403, Media, PA 19063-5166 2020-02-09
1790315000 Marie Miller Counselor 601 N Olive St, Media, PA 19063-2548 2020-01-26
1073158333 Edward J Friel Iv Counselor 206 Northbrook Dr, Media, PA 19063-5124 2019-11-11
1295280592 Lauren Marie Kossler Counselor 318 W Baltimore Ave, 3rd Floor, Media, PA 19063-3601 2016-08-17
1427433481 Danielle Henderson Counselor 107 Chesley Dr Ste 2, Media, PA 19063-1760 2015-07-20
1174907901 Megan Eileen Stitz Counselor 10 W Front St, Media, PA 19063-3306 2015-07-10
1114338878 Lauren Farley Counselor 14 S Orange St, Media, PA 19063 2014-05-15
1053619288 Taracolleen Macatee Counselor 6 Northgate Vlg, Media, PA 19063-2040 2011-03-11
1922304930 Melissa Christne O'neill Counselor 20 S Olive St Ste 202a, Media, PA 19063-3228 2011-02-09
Find all providers in MEDIA

Competitor

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City MEDIA
Zip Code 19063

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Dataset Information

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.

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