BRENDALI F REIS (NPI# 1578851226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578851226 |
| Entity Type | Individual |
| Full Name | BRENDALI F REIS |
| Other Name | BRENDA REIS |
| Credential | PH.D. |
| Practice Address |
43 Leopard Rd Paoli Executive Green II, Suite 100 Paoli PA 19301-1552 |
| Practice Telephone | 6109458056 |
| Mailing Telephone | 6109458056 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS009073L | PA | Behavioral Health & Social Service Providers |
| Street Address |
43 LEOPARD RD PAOLI EXECUTIVE GREEN II, SUITE 100 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745923 | Maureen Morison | Psychologist | 43 Leopard Rd, Paoli Exec. Green II -ste100, Paoli, PA 19301-1552 | 2006-05-11 |
| 1285075549 | Life Guidance Associates | Social Worker | 43 Leopard Rd, Building 2, Suite 203, Paoli, PA 19301-1552 | 2013-07-15 |
| 1710187067 | Gary Gussman Dorey-stein | Psychologist | 43 Leopard Rd, Building 2 Suite 101, Paoli, PA 19301-1552 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657883 | Jasmita Ranchod | Psychologist | 488 W Hospital Road, Paoli, IN 47454 | 2013-09-26 |
| 1700081692 | Victor Joseph Shklyarevsky | Psychologist | 41 Leopard Rd, Paoli Executive Green I, Suite 304, Paoli, PA 19301-1549 | 2007-06-19 |
| 1801013206 | Jennifer Jackson Holden | Psychologist | 41 Leopard Rd Ste 304, Center for Psychological Services, Paoli, PA 19301-1549 | 2007-04-19 |
| 1750346136 | Roger William Osmun | Psychologist | 30 S Valley Rd Ste 306, Paoli, PA 19301-1476 | 2006-04-19 |
| 1508856485 | Michael Keith Coots | Psychologist | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2005-10-24 |
| 1528628054 | Susan J Campling,rn, Psy.d PC | Psychologist | 45 Darby Rd Ste F, Paoli, PA 19301-1475 | 2019-06-17 |
| 1295206290 | Pinnacle Psychological Services, LLC | Psychologist | 30 S Valley Rd Ste 306, Paoli, PA 19301-1476 | 2018-12-17 |
| 1396107561 | Kathryn Ee-ling Lou | Psychologist | 16 Industrial Blvd, Suite 102, Paoli, PA 19301-1609 | 2016-03-25 |
| 1407212764 | Kathryn Kurivial | Psychologist | 41 Leopard Rd, Executive Green Building 1, Suite 304, Paoli, PA 19301-1549 | 2016-01-01 |
| 1912176413 | Counseling Associates | Psychologist | 20 S Valley Rd, Paoli, PA 19301-1465 | 2008-02-28 |
| Find all providers in PAOLI | ||||
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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.