NEW LEAF PSYCHOTHERAPY SERVICES (NPI# 1477813434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477813434 |
| Entity Type | Organization |
| Organization Name | NEW LEAF PSYCHOTHERAPY SERVICES |
| Practice Address |
504 Lakeside Park Southampton PA 18966-4078 |
| Practice Telephone | 2153540777 |
| Mailing Telephone | 2153540777 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | DR. KYLE FRANCIS WALSH (PRESIDENT) |
| Authorized Official Telephone | 2156013223 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PC000060 | PA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | New Leaf Psychotherapy Services, LLC | 3801 Cottage Dr., Colorado Springs, CO 80920 |
| Street Address |
504 LAKESIDE PARK |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-4078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114042389 | Sharon E Stark | Counselor | 504 Lakeside Park, Lakeside Office Park, Southampton, PA 18966-4078 | 2007-03-20 |
| 1053767855 | Jacob Warner | Marriage & Family Therapist | 504 Lakeside Park, Southampton, PA 18966-4078 | 2016-05-11 |
| 1992047542 | Cristina Lyn Smolenak | Counselor | 504 Lakeside Park, Southampton, PA 18966-4078 | 2013-03-21 |
| 1679829451 | Deborah Joy Hudson | Social Worker | 504 Lakeside Park, Southampton, PA 18966-4078 | 2012-07-30 |
| 1811225493 | Cara Godwin | Social Worker | 504 Lakeside Park, Southampton, PA 18966-4078 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416959 | Ronald Dean | Psychologist | 1706 Golden Mile Road, Wysox, PA 18854-7708 | 2020-10-29 |
| 1215594460 | Neil Patrick Jones | Psychologist | 121 Meyran Ave Bldg Rm323, Pittsburgh, PA 15213-3308 | 2019-05-23 |
| 1962981860 | Ocd Spectrum, Inc | Psychologist | 307 4th Ave Ste 1100, Pittsburgh, PA 15222-2107 | 2018-08-10 |
| 1588143770 | Troy Psychological Services, Pllc | Psychologist | 122 Elmira St., Suite B, Troy, PA 16947-1202 | 2018-08-09 |
| 1326540592 | Julia West Phd LLC | Psychologist | 1005 Brookside Rd Ste 130, Allentown, PA 18106-9023 | 2018-03-05 |
| 1053848580 | Ronald Daniels | Psychologist | 2570 Terraced Hill Ct, Pottstown, PA 19464-3146 | 2017-05-15 |
| 1376088591 | Diane Jarin | Psychologist | 1528 Montgomery Ave, Bryn Mawr, PA 19010-1658 | 2016-12-23 |
| 1427412170 | James M Mcfalls | Psychologist | 212 Idris Rd, C-2, Merion Station, PA 19066-1633 | 2016-04-08 |
| 1598134231 | Lidia Estrada Cordero | Psychologist | 2817 Fairview St, Bethlehem, PA 18020-5505 | 2015-09-23 |
| 1568841187 | Elizabeth Turner Stinson | Psychologist | 37 S. Clinton St., Doylestown, PA 18901 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on NEW LEAF PSYCHOTHERAPY SERVICES.
| 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.