DIANE BRADLEY (NPI# 1407254204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407254204 |
| Entity Type | Individual |
| Full Name | DIANE BRADLEY |
| Practice Address |
4610 E Street Rd Trevose PA 19053-6612 |
| Mailing Address |
521 Plymouth Rd Suite 106 Plymouth Meeting PA 19462-1638 |
| Practice Telephone | 6109413390 |
| Mailing Telephone | 6109413390 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC007745 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830859 | Diane Bradley | Transportation Broker | 675 Deis Dr # 167, Fairfield, OH 45014-8136 | 2019-03-18 |
| 1477862100 | Diane Lynette Bradley | Nurse Practitioner | 14543 Sw 142nd Court Cir, Miami, FL 33186-5627 | 2010-09-29 |
| Street Address |
4610 E STREET RD |
| City | TREVOSE |
| State | PA |
| Zip Code | 19053-6612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245372937 | The Progressions Companies, Inc. | Clinic/Center | 4610 E Street Rd, Trevose, PA 19053-6612 | 2007-02-12 |
| 1497294045 | Sammy Chebolio | Social Worker | 4610 E Street Rd, Trevose, PA 19053 | 2017-02-15 |
| 1841732567 | Bailey Frankel | Social Worker | 4610 E Street Rd, Trevose, PA 19053-6612 | 2016-11-11 |
| 1487013462 | Paul Williams | Counselor | 4610 E Street Rd, Trevose, PA 19053-6612 | 2016-02-18 |
| 1922477868 | Sarah Mumma | Counselor | 4610 E Street Rd, Trevose, PA 19053-6612 | 2015-09-22 |
| 1932595212 | Angiemar Morales-acuna | Counselor | 4610 E Street Rd, Trevose, PA 19053-6612 | 2015-04-13 |
| 1346511425 | Malvern Institute | Specialist | 4610 E Street Rd, Trevose, PA 19053-6612 | 2012-01-20 |
| 1366650004 | Tsipora D. Melman | Social Worker | 4610 E Street Rd, Internet Behavior- Trevose Corporate Center, Trevose, PA 19053-6612 | 2007-05-18 |
| 1962619841 | Internet Behavioral Care, PC | Clinic/Center | 4610 E Street Rd, Trevose, PA 19053-6612 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487013462 | Paul Williams | Counselor | 4610 E Street Rd, Trevose, PA 19053-6612 | 2016-02-18 |
| 1932595212 | Angiemar Morales-acuna | Counselor | 4610 E Street Rd, Trevose, PA 19053-6612 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427806 | Emerald Grove Wellness LLC | Counselor | 214 Brickyard Rd, Mars, PA 16046-3006 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1811598949 | Amy Lynn Protho | Counselor | 3495 Butler St Ste 3, Pittsburgh, PA 15201-1375 | 2020-11-04 |
| 1447851662 | Shari Mcclaren Counseling | Counselor | 1360 Eisenhower Blvd Ste 404, Johnstown, PA 15904-3341 | 2020-11-04 |
| 1467053835 | Margaret A Connors | Counselor | 811 Williamsburg Blvd, Downingtown, PA 19335-4124 | 2020-11-03 |
| 1033719794 | Paul Sliva | Counselor | 1040 E Windhaven Rd # A, Pittsburgh, PA 15205-8700 | 2020-10-30 |
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1477153344 | Brianne Marie Wagner | Counselor | 720 Rowena Dr Ste 202, Ebensburg, PA 15931-2038 | 2020-10-29 |
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| 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.