DR. JAKE SLATER KING (NPI# 1669881454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669881454 |
| Entity Type | Individual |
| Full Name | DR. JAKE SLATER KING |
| Credential | PHD |
| Practice Address |
950 E Haverford Rd Ste 305 Bryn Mawr PA 19010-3851 |
| Mailing Address |
950 E Haverford Rd Ste 305 Bryn Mawr PA 19010-3851 |
| Practice Telephone | 2675673138 |
| Mailing Telephone | 5188947939 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Overlook Ter, Madison, WI 537052254 | 6082807084 | |
| 700 University Bay Drive Apt 213, Madison, WI 53705 | 5188947939 | |
| 950 E Haverford Rd Ste 305, Bryn Mawr, PA 190103851 | 2675673138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356658199 | Jake A King | Foster Care Agency | 864 S Main St Ste 4, Brigham City, UT 84302-3362 | 2010-08-31 |
| Street Address |
950 E HAVERFORD RD STE 305 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116364 | Peter C Badgio | Clinical Neuropsychologist | 950 E Haverford Rd Ste 305, Bryn Mawr, PA 19010-3851 | 2019-07-20 |
| 1487146940 | Taylor Digravina | Clinical Neuropsychologist | 950 E Haverford Rd Ste 305, Bryn Mawr, PA 19010-3851 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
| 1578116364 | Peter C Badgio | Clinical Neuropsychologist | 950 E Haverford Rd Ste 305, Bryn Mawr, PA 19010-3851 | 2019-07-20 |
| 1487146940 | Taylor Digravina | Clinical Neuropsychologist | 950 E Haverford Rd Ste 305, Bryn Mawr, PA 19010-3851 | 2018-05-31 |
| 1801242185 | Contemporary Tms of Brynmawr | Clinical Neuropsychologist | 940 E Haverford Rd, Bryn Mawr, PA 19010-3845 | 2016-05-05 |
| 1053621623 | Neha Kirit Dixit | Clinical Neuropsychologist | 940 E Haverford Rd, Bryn Mawr, PA 19010-3845 | 2010-10-18 |
| 1912097635 | Emily Perlis | Clinical Neuropsychologist | 950 E Haverford Rd, Suite 306, Bryn Mawr, PA 19010-3850 | 2006-10-13 |
| 1821197633 | Edward Maurice Moss | Clinical Neuropsychologist | 950 E Haverford Rd, Suite 306, Bryn Mawr, PA 19010-3850 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
| 1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
| 1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
| 1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
| 1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
| 1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
| 1780105999 | Kathleen Breslin | Clinical Neuropsychologist | 5 Christy Dr Ste 207, Chadds Ford, PA 19317 | 2017-06-28 |
| Find all providers with the same taxonomy | ||||
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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.