MICHAEL JOHN PRENDERGAST (NPI# 1518278886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518278886 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN PRENDERGAST |
| Credential | PHD |
| Practice Address |
3591 Reserve Commons Dr Suite 301 Medina OH 44256-5334 |
| Practice Telephone | 3307647916 |
| Practice Fax Number | 3307236399 |
| Mailing Telephone | 3307647916 |
| Mailing Fax Number | 3307236399 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
4173 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619365053 | Michael Joseph Prendergast | Urology | 1165 Turnberry Ln, York, PA 17403-9116 | 2015-01-08 |
| 1730743964 | Michael Patrick Prendergast | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-04-23 |
| 1245568088 | Michael Prendergast | Pediatrics | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2009-12-04 |
| 1780851113 | Michael A Prendergast | Emergency Medicine | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2008-05-14 |
| 1568570158 | Michael Prendergast | Specialist | 800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439 | 2006-08-25 |
| 1003886920 | Michael J Prendergast | Nurse Practitioner | 22089 Us Highway 19 N, Clearwater, FL 33765-2364 | 2006-01-24 |
| Street Address |
3591 RESERVE COMMONS DR SUITE 301 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-5334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720649 | Kathleen Gayle Kunkle | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2006-05-24 |
| 1144770470 | Megan Schaecher-pecek | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2016-10-11 |
| 1154871481 | Andrienne Turner | Social Worker | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2016-10-11 |
| 1790233914 | Robert Tittl | Physical Therapy Assistant | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 | 2016-09-16 |
| 1740737873 | Michelle Mctighe | Physical Therapy Assistant | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 | 2016-09-07 |
| 1053775221 | Susan Brewer | Social Worker | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2016-04-13 |
| 1881068427 | Advanced Spine Joint and Wellness Center | Physical Medicine & Rehabilitation | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 | 2015-11-19 |
| 1235505447 | Colleen Fritz | Social Worker | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2015-08-12 |
| 1669853958 | Psychology Consultants Inc. | Behavioral Analyst | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2015-06-12 |
| 1932523834 | Alex S Maryles | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346684479 | Mary Ball | Psychologist | 315 W Liberty St, Medina, OH 44256-2219 | 2013-04-19 |
| 1225114077 | Sarah Toman | Psychologist | 6636 River Styx Rd, Medina, OH 44256-9787 | 2006-10-27 |
| 1730323684 | Debora M Esty | Psychologist | 221 W Liberty St, Medina, OH 44256-2217 | 2009-04-22 |
| 1740449321 | Kimberly Mikich Oney | Psychologist | 246 Northland Dr, Medina, OH 44256 | 2008-06-09 |
| 1255495735 | Kim Metz | Psychologist | 230 S Court St, Suite 8, Medina, OH 44256-2259 | 2006-12-20 |
| 1861458879 | Charles A Waehler | Psychologist | 221 W Liberty St, Medina, OH 44256-2217 | 2006-04-26 |
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| 1174145957 | Destiny of Hope Foundation | Psychologist | 1337 W Riverview Ave, Dayton, OH 45402-6216 | 2020-05-14 |
| 1396379392 | Donald R Gozdowski | Psychologist | 3142 Franklin Ave, Toledo, OH 43608-1758 | 2020-02-27 |
| 1437798451 | Next Generation Behavioral Health | Psychologist | 2256 1/2 E Main St, Suite C, Bexley, OH 43209 | 2019-12-23 |
| 1821630781 | Finding Your Destiny, LLC | Psychologist | 25701 N Lakeland Blvd Ste 311-313, Euclid, OH 44132-2450 | 2019-10-11 |
| 1073154571 | Jeeseon Park-saltzman | Psychologist | 4929 Dierker Rd Ste A, Upper Arlington, OH 43220-2946 | 2019-10-05 |
| 1265991913 | Diane Britt | Psychologist | 24 1/2 S Main St, Oberlin, OH 44074-1627 | 2019-03-12 |
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1437649134 | Care and Calling LLC | Psychologist | 1774 Killian Rd., Akron, OH 44312-4824 | 2018-05-17 |
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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.