DR. JACI VERGHESE (NPI# 1447893227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447893227 |
| Entity Type | Individual |
| Full Name | DR. JACI VERGHESE |
| Credential | PH.D. |
| Practice Address |
134 Crimson Ln Elizabethtown PA 17022-8745 |
| Practice Telephone | 7174682619 |
| Mailing Telephone | 7174682619 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PC006931 | PA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC006931 | PA | Behavioral Health & Social Service Providers |
| Street Address |
134 CRIMSON LN |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-8745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1326673526 | Natasha Regina Porter | Counselor | 120 Meena Way Apt 3a, Elizabethtown, KY 42701-4826 | 2020-03-08 |
| 1295236149 | Tiffany Bufort | Counselor | 1890 N Market St, Elizabethtown, PA 17022-1131 | 2018-02-26 |
| 1356791750 | Brandy Heavrin | Counselor | 1106 Tunnel Hill Rd # 100, Elizabethtown, KY 42701-8067 | 2016-06-16 |
| 1023463254 | Michelle Marie Davy | Counselor | 40 W Hummelstown St, Elizabethtown, PA 17022-2021 | 2016-04-25 |
| 1235595901 | Terri Dugan | Counselor | 790 N Dixie Ave Ste B100, Elizabethtown, KY 42701-2488 | 2016-01-11 |
| 1770979379 | Erika Del Carmen Matzdorff | Counselor | 202 N Mulberry St, Elizabethtown, KY 42701-1441 | 2015-04-09 |
| 1427447473 | Charlotte Campbell Davis | Counselor | 1111 N Dixie Hwy Ste 2, Elizabethtown, KY 42701-2764 | 2015-01-14 |
| 1528475670 | Stephanie Bridgehouse | Counselor | 978 Milton Grove Rd N, Elizabethtown, PA 17022-8485 | 2014-07-21 |
| 1336470673 | Holly B Daknis | Counselor | 1311 N Dixie Hwy Bldg D, Elizabethtown, KY 42701-2621 | 2010-01-27 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on DR. JACI VERGHESE.
| 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.