THE MILTON S. HERSHEY MEDICAL CENTER (NPI# 1477693737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477693737 |
| Entity Type | Organization |
| Organization Name | THE MILTON S. HERSHEY MEDICAL CENTER |
| Other Organization Name | MSHMC PARTIAL PSYCH NORTHEAST DR |
| Practice Address |
22 Northeast Dr Hershey PA 17033-2732 |
| Mailing Address |
Po Box 856 Mc A410 Hershey PA 17033-0856 |
| Practice Telephone | 7175311159 |
| Practice Fax Number | 7175317269 |
| Mailing Telephone | 7175311159 |
| Mailing Fax Number | 7175317269 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-10-13 |
| NPI Deactivation Date | 06/16/2010 |
| NPI Reactivation Date | 2014-02-26 |
| Authorized Official Name | PAUL SWINKO (CFO) |
| Authorized Official Telephone | 7175318405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
135101 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007653100033 | 05 |
| Other Name | Type Code |
|---|---|
| MSHMC Partial Psych Northeast Dr | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902283799 | The Milton S. Hershey Medical Center | Pharmacy | 30 Hope Dr Ste 1005, Hershey, PA 17033-2036 | 2015-04-30 |
| 1902170186 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr Suite 1200, Hershey, PA 17033-2360 | 2012-03-06 |
| 1134460074 | The Milton S. Hershey Medical Center | Clinic/Center | 2494 Bernville Rd, Suite 106, Reading, PA 19605-9469 | 2013-03-01 |
| 1528315645 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Suite T1100, Hershey, PA 17033-2360 | 2012-08-08 |
| 1730313131 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Psci Suite T1100, Hershey, PA 17033-2360 | 2009-05-13 |
| 1144406844 | The Milton S. Hershey Medical Center | Pharmacy | 30 Hope Dr, Suite 1005, Hershey, PA 17033-2036 | 2008-01-14 |
| 1427195494 | The Milton S. Hershey Medical Center | Clinic/Center | 500 University Dr, Hershey, PA 17033-2360 | 2007-01-31 |
| 1336286301 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Hershey, PA 17033-2360 | 2007-01-31 |
| 1417094624 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr, Upc Suite 1200, Hershey, PA 17033-2360 | 2007-01-30 |
| 1245376821 | The Milton S. Hershey Medical Center | Clinic/Center | 905 W Governor Rd, Briarcrest Square, Suite 250, Hershey, PA 17033-2307 | 2007-01-30 |
| Street Address |
22 NORTHEAST DR |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700835477 | Lidija Petrovic-dovat | Psychiatry & Neurology | 22 Northeast Dr, Hershey, PA 17033-2732 | 2006-05-09 |
| 1275091829 | Michael Thomas Decristofaro | Marriage & Family Therapist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2019-03-03 |
| 1265948079 | Jesse R Northridge | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-12-18 |
| 1184140303 | Marci J Houck | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-08-18 |
| 1356871644 | Autumn Joy Kujawa | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-06-19 |
| 1417484833 | Dahlia Mukherjee | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-16 |
| 1447786421 | Mohammad Ali Humza Salim | Student in an Organized Health Care Education/Training Program | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-11 |
| 1336673599 | Sierra L Brown | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-04-14 |
| 1508317082 | Stephanie F Harvison | Counselor | 22 Northeast Dr, Hershey, PA 17033-2732 | 2016-10-19 |
| 1487006144 | Chelsea Kay Belles | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922145051 | The Milton S. Hershey Medical Center | Clinic/Center | 22 Northeast Dr, Hershey, PA 17033-2732 | 2007-01-30 |
| 1356300453 | The Milton S. Hershey Medical Center | Clinic/Center | 905 W Governor Rd, Suite 250, Hershey, PA 17033-2307 | 2006-03-20 |
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| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1780291062 | Grasta Counseling Services, LLC | Clinic/Center | 321 Spruce St Ste 502, Scranton, PA 18503-1445 | 2020-09-30 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1033725569 | Deirdre Razzi, Lcsw | Clinic/Center | 207 W Plumstead Ave, Lansdowne, PA 19050-1120 | 2020-09-21 |
| 1760096267 | Gail R. Ludwig | Clinic/Center | 689 Oxford Blvd, Pittsburgh, PA 15243-1637 | 2020-09-02 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1861002461 | Maternal Wellness Center LLC | Clinic/Center | 67 Byberry Rd, Hatboro, PA 19040-3205 | 2020-08-07 |
| 1104435536 | Finding Peace of The Poconos LLC | Clinic/Center | 310 Miller Rd, Stroudsburg, PA 18360-8407 | 2020-07-31 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
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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.