KRYSTAL RENEE STOBER (NPI# 1629257746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629257746 |
| Entity Type | Individual |
| Full Name | KRYSTAL RENEE STOBER |
| Credential | PSYD |
| Practice Address |
833 Chestnut St Suite 210 Phila PA 19107-4414 |
| Practice Telephone | 2155032814 |
| Practice Fax Number | 2159238219 |
| Mailing Telephone | 2155032814 |
| Mailing Fax Number | 2159238219 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
833 CHESTNUT ST SUITE 210 |
| City | PHILA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295955896 | Nancy Patten | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-04-26 |
| 1962622407 | Ruth Frank | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-04-26 |
| 1902994346 | Harris Rabinovich | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-10-11 |
| 1598777088 | Pamela R Kasinetz | Social Worker | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-08-12 |
| 1407865298 | Zhabiz Kazeminezhad | Psychiatry & Neurology | 833 Chestnut St, Suite210, Phila, PA 19107-4414 | 2006-08-08 |
| 1922014034 | Barry W. Rovner | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-31 |
| 1518971290 | Michael J. Vergare | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-28 |
| 1962416651 | Kenneth M. Certa | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-28 |
| 1952315855 | Rodney J. Pelchat | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-28 |
| 1215950357 | Ronald David Serota | Psychiatry & Neurology | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2006-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306919170 | Barry L. Kayes | Psychologist | 8040 Roosevelt Boulevard, Suite 217, Phila, PA 19152-2902 | 2006-11-17 |
| 1093807794 | Judith Sanders | Psychologist | 1500 Locust St, 2806, Phila, PA 19102 | 2006-09-29 |
| 1457601155 | Krista Mancarella | Psychologist | 5301 Ridge Ave, Phila, PA 19128-3757 | 2012-09-11 |
| 1932341658 | Erika Kawamura | Psychologist | 4200 Monument Road, Belmont Center, Phila, PA 19131 | 2009-03-26 |
| 1538386941 | Jilla Carpey | Psychologist | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-04-19 |
| 1174640718 | Ruth E Kanost | Psychologist | 112 N Broad St, Phila, PA 19102-1510 | 2007-03-26 |
| 1952459471 | Jay Louis Segal | Psychologist | 1601 Walnut St, Ste. 1128, Phila, PA 19102-2944 | 2007-01-08 |
| 1144309212 | Anita T Laver | Psychologist | 255 S 17th St, Suite 2601, Phila, PA 19103 | 2006-11-02 |
| 1942219043 | Fred Brian Chase | Psychologist | 135 S 19th St, Suite 240, Phila, PA 19103-4912 | 2006-08-07 |
| 1225078066 | Charles Johnson | Psychologist | 1401 S 4th St, Phila, PA 19147-5907 | 2006-06-08 |
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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.