SUSAN MOORE (NPI# 1609245893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609245893 |
| Entity Type | Organization |
| Organization Name | SUSAN MOORE |
| Practice Address |
14 Heather Valley Rd Holland PA 18966-2630 |
| Practice Telephone | 7325394921 |
| Mailing Telephone | 7325394921 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | MRS. SUSAN MOORE (FITNESS CONSULTANT) |
| Authorized Official Telephone | 7325394921 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUSAN MOORE REAL ESTATE, INC | 4710 Village Plaza Loop, Eugene, OR 97401 |
| Street Address |
14 HEATHER VALLEY RD |
| City | HOLLAND |
| State | PA |
| Zip Code | 18966-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1427565779 | Kecia Gay | Community/Behavioral Health | 7015 Spring Mdws W, Holland, OH 43528-9299 | 2018-01-09 |
| 1659888568 | Sharonda Perkins | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-01-02 |
| 1104336296 | Newness of Life Counseling LLC | Community/Behavioral Health | 7445 Airport Hwy Ste E, Holland, OH 43528-9544 | 2017-10-03 |
| 1992226807 | A Step Beyond | Community/Behavioral Health | 5726 Southwyck Blvd, Holland, OH 43614 | 2017-06-30 |
| 1497053664 | Choices Behavioral Health Care | Community/Behavioral Health | 350 N Irwin Rd, Holland, OH 43528-8964 | 2011-03-11 |
| 1952620106 | County of Ottawa | Community/Behavioral Health | 12263 James St, Holland, MI 49424-8613 | 2010-05-27 |
| 1114165438 | Midtown Counseling Services | Community/Behavioral Health | 96 W 15th St Ste 208-9, Holland, MI 49423-3370 | 2009-01-23 |
| 1104488949 | Charis | Community/Behavioral Health | 186 S River Ave Ste 5, Holland, MI 49423-2848 | 2019-07-02 |
| 1407344807 | Clint Dorn | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-05-01 |
| Find all providers in HOLLAND | ||||
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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.