COMMUNITY PSYCHOLOGICAL SERVICES (NPI# 1447235379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447235379 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PSYCHOLOGICAL SERVICES |
| Practice Address |
2341 Walbert Ave Allentown PA 18104-1351 |
| Practice Telephone | 6104342431 |
| Practice Fax Number | 6104348384 |
| Mailing Telephone | 6104342431 |
| Mailing Fax Number | 6104348384 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS C VELLELA (OWNER / EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6104342431 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PS004488L | PA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PS004488L | PA | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
PS004488L | PA | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PS004488L | PA | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PS004488L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | VE454291 | 01 |
| PA | CAPITAL BLUE CROSS | 02988501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285893180 | Community Psychological Services | Community/Behavioral Health | 150 W University Blvd, Building 265, Melbourne, FL 32901-6975 | 2008-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY PSYCHOLOGICAL SERVICES, L.L.C. | 702 N Blackhawk Ave Ste 200, Madison, WI 53705-3357 |
| Street Address |
2341 WALBERT AVE |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265776934 | Leigh Ann Ryan | Social Worker | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2012-11-19 |
| 1750523122 | Vivian Ximena Davis-martinez | Social Worker | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2009-04-01 |
| 1659570828 | Jean Louise Sommer | Counselor | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2007-07-17 |
| 1093938268 | Matthew James Schaffer | Counselor | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2007-04-10 |
| 1619991403 | Christina S. Buss | Counselor | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-07-26 |
| 1841259538 | Thomas Austin Seay | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-03-21 |
| 1659340909 | Thomas C Vellela | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-03-17 |
| 1205805728 | Vicki Kim Liberto | Counselor | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-03-16 |
| 1831167022 | Richard Joseph Loeb | Counselor | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-03-14 |
| 1255319794 | Michael J. Dolan | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841259538 | Thomas Austin Seay | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-03-21 |
| 1952360174 | Community Psychological Services Consultant, Inc. | Psychologist | 2431 Walbert Ave, Allentown, PA 18104-1325 | 2006-03-18 |
| 1255319794 | Michael J. Dolan | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-01-05 |
| 1588642862 | Dr. Michael J. Dolan | Psychologist | 2341 Walbert Ave, Allentown, PA 18104-1351 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275189375 | Atn Physicians & Associates LLC | Psychologist | 1120 W Township Line Rd Fl 2, Havertown, PA 19083-4929 | 2019-08-14 |
| 1881152304 | Compass Psychological Associates | Psychologist | 504 Pittsburgh Street # 100, Mars, PA 16046 | 2019-03-04 |
| 1194275644 | Zumar Dubose | Psychologist | 7832 Temple Rd, Philadelphia, PA 19150-2110 | 2016-10-08 |
| 1619326089 | Bucks County Psychological | Psychologist | 10 S Clinton St Ste 207, Doylestown, PA 18901-4220 | 2016-06-07 |
| 1659773802 | Rashid Williams | Psychologist | 1000 3rd Ave, New Brighton, PA 15066-2012 | 2014-09-18 |
| 1134562325 | Santilli Psychological and Wellness Services, LLC | Psychologist | 3535 Route 130, Suite 2, Lower Level, Irwin, PA 15642-2143 | 2013-04-08 |
| 1962758052 | Jeremy Philip Frank | Psychologist | 3900 City Ave Ste D108, Presidential City Apartments, Madison Bldg., Phila, PA 19131-2926 | 2012-07-26 |
| 1871891994 | Marc Laud Feldman | Psychologist | 111 Forrest Ave Fl 2, Narberth, PA 19072-2252 | 2011-03-14 |
| 1588808398 | Amy Parkinson Seader | Psychologist | 1708 Madeira Ave, Jenkintown, PA 19046-2211 | 2009-04-23 |
| 1922279975 | Martha B Boston | Psychologist | 1350 Edgmont Ave, Suite 2575, Chester, PA 19013-3962 | 2008-03-18 |
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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.