JOCLYN RAE MALYS (NPI# 1558850008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558850008 |
| Entity Type | Individual |
| Full Name | JOCLYN RAE MALYS |
| Credential | MS |
| Practice Address |
6122 Ridge Ave Philadelphia PA 19128-1603 |
| Mailing Address |
206 Indian Creek Dr Wilkes Barre PA 18702-7825 |
| Practice Telephone | 2154871330 |
| Mailing Telephone | 5705740826 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| 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 |
| Street Address |
6122 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865382 | Michael Patrick Gray | Psychologist | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2006-11-09 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1700439171 | Antoinette Rosa Jackson (aziz) | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2019-07-24 |
| 1013486463 | Danielle Elizabeth Tucci | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-11-15 |
| 1760960777 | Jonathan Everett Mauger | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-08-01 |
| 1205326089 | Paige Anne Martin | Student in an Organized Health Care Education/Training Program | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-16 |
| 1255821658 | Katherine J. Homa | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-11 |
| 1750870218 | Ashley M Smith | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-09 |
| 1215425970 | Samantha Ann Algauer | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-04-28 |
| 1467949784 | Melanie Levitt | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| 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 | 19128 |
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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.