MANUEL CUSTODIO (NPI# 1477838720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477838720 |
| Entity Type | Individual |
| Full Name | MANUEL CUSTODIO |
| Credential | MA |
| Practice Address |
2927 N 5th St Philadelphia PA 19133-2800 |
| Mailing Address |
2030 W Tilghman St Suite 105b Allentown PA 18104-4354 |
| Practice Telephone | 4842219136 |
| Practice Fax Number | 4842219130 |
| Mailing Telephone | 4842219136 |
| Mailing Fax Number | 4842219130 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661339 | Manuel Floyd Custodio | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-08-28 |
| Street Address |
2927 N 5TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043304199 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 2927 N 5th St, 2nd Floor, Philadelphia, PA 19133-2800 | 2006-10-03 |
| 1396127627 | Dulce Silvestre De La Cruz | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2015-06-23 |
| 1114321114 | Manuella Arroyo Young | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-10-20 |
| 1356744627 | Jose Lopez | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-10-01 |
| 1306250022 | Orlando Calizan Severino | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-06-20 |
| 1619391257 | Clara Soliz Garcia | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-02-18 |
| 1679997217 | Alipia Tapia De Cabrera | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-02-18 |
| 1154758803 | Yenny Cristina Lora Abreau | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
| 1376970020 | Gina Echeverry | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
| 1801223557 | Juan F Fabian Carreras | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
Please comment or provide details below to improve the information on MANUEL CUSTODIO.
| 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.