DR. DOUGLAS KAWKA (NPI# 1477923506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477923506 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS KAWKA |
| Credential | PSY.D., BCB |
| Practice Address |
414 Paoli Pike Malvern PA 19355-3311 |
| Mailing Address |
414 Paoli Pike Psychology Department Malvern PA 19355 |
| Practice Telephone | 4845965430 |
| Mailing Telephone | 4845965430 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
414 PAOLI PIKE |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386616449 | Lance S Roberts | Physical Medicine & Rehabilitation | 414 Paoli Pike, Malvern, PA 19355-3311 | 2006-02-03 |
| 1548878580 | Jaclyn Grenier | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2020-07-15 |
| 1174149025 | Brian Scott Kriebel | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3300 | 2020-06-17 |
| 1316567076 | Benjamin Schreiber | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2020-04-23 |
| 1255999207 | Victoria Kramp | Occupational Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2019-06-04 |
| 1396308466 | Meghan Kincaid | Speech-Language Pathologist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2019-04-15 |
| 1275985327 | Maureen Perno | Clinical Neuropsychologist | 414 Paoli Pike, Malvern, PA 19355 | 2016-07-12 |
| 1225486319 | Katherine Streitel Borst | Internal Medicine | 414 Paoli Pike, Malvern, PA 19355-3311 | 2016-05-30 |
| 1477900587 | Rehabilitation Associates of The Main Line PC | Non-Pharmacy Dispensing Site | 414 Paoli Pike, Malvern, PA 19355-3311 | 2016-05-18 |
| 1922475912 | Jessica W Connell | Registered Nurse | 414 Paoli Pike, Rehabilitation Associates of The Main Line, Malvern, PA 19355-3311 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457405177 | Louis Moskowitz | Psychologist | Union Hill Rd., Malvern, PA 19355-0052 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
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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.