INGEBORG KROMPHOLZ DAMSTRA (NPI# 1689883241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689883241 |
| Entity Type | Individual |
| Full Name | INGEBORG KROMPHOLZ DAMSTRA |
| Credential | M.D. |
| Practice Address |
171 W Lancaster Ave Council for Relationships Paoli PA 19301-1775 |
| Mailing Address |
47 Dunminning Rd Newtown Square PA 19073-1801 |
| Practice Telephone | 6108890419 |
| Mailing Telephone | 6102549238 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD053665L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
171 W LANCASTER AVE COUNCIL FOR RELATIONSHIPS |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689881427 | Kerstin Miller | Marriage & Family Therapist | 171 W Lancaster Ave, 2nd Floor, Paoli, PA 19301-1775 | 2007-05-17 |
| 1215148556 | Esther Susan Schlessinger-mita | Psychologist | 171 W Lancaster Ave, Suite 3, Paoli, PA 19301-1775 | 2007-05-25 |
| 1992916027 | Michael J D'antonio | Psychologist | 171 W Lancaster Ave, Ste 3, Paoli, PA 19301-1775 | 2007-05-24 |
| 1447460902 | Elaine Kopelman | Marriage & Family Therapist | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-23 |
| 1568671931 | Priscilla Francella Singleton | Social Worker | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-22 |
| 1255549259 | Robert Joseph Murray | Marriage & Family Therapist | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-21 |
| 1124236849 | Belinda Joyce Madison | Psychologist | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-18 |
| 1932317658 | Sue D Milbourne | Marriage & Family Therapist | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-18 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962617837 | Mary Elizabeth Diamond | Psychiatry & Neurology | 41 Paoli Plz, Suite D1, Paoli, PA 19301-1367 | 2007-05-13 |
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| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
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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.