MS. FERNANDA ANN FORMEL (NPI# 1710509237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710509237 |
| Entity Type | Individual |
| Full Name | MS. FERNANDA ANN FORMEL |
| Practice Address |
8220 Castor Ave Philadelphia PA 19152-2729 |
| Practice Telephone | 2673668806 |
| Practice Fax Number | 2157456511 |
| Mailing Telephone | 2673668806 |
| Mailing Fax Number | 2157456511 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
8220 CASTOR AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386605178 | Beth Bloom | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2006-03-31 |
| 1851900278 | Tahanee Munir | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-07-31 |
| 1396369583 | Lesa Drake | Social Worker | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-06-03 |
| 1083247431 | Hannah Sadock | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-02-13 |
| 1790316024 | Raelea Webster | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-01-27 |
| 1215577119 | Madeleine Emily Ball | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-01-09 |
| 1437796919 | Crystal Rena Jackson | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
| 1629615190 | Rebecca Kline | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
| 1821634452 | Serra Karamete | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-11-19 |
| 1134762511 | Cassandra Lamothe | Registered Nurse | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738592 | Julia Mcgrath | Marriage & Family Therapist | 170 Cotton St Apt 205, Philadelphia, PA 19127-1445 | 2020-10-19 |
| 1629684832 | Jennifer Shortelle | Marriage & Family Therapist | 200 N 16th St Apt 1901, Philadelphia, PA 19102-1211 | 2020-09-22 |
| 1336754225 | Sage Regina | Marriage & Family Therapist | 1533 S Bouvier St, Philadelphia, PA 19146-4745 | 2020-09-09 |
| 1376157057 | Charmaine Ensinger | Marriage & Family Therapist | 338 Mercy St, Philadelphia, PA 19148-2632 | 2020-09-01 |
| 1437763174 | Maisy Hughes | Marriage & Family Therapist | 828 N Stillman St, Philadelphia, PA 19130-1836 | 2020-09-01 |
| 1952912594 | Amy L Crichton | Marriage & Family Therapist | 979 N Marshall St Unit 2, Philadelphia, PA 19123-1306 | 2020-08-16 |
| 1710596549 | Kellie Smith | Marriage & Family Therapist | 7552 Frankford Ave, Philadelphia, PA 19136-3534 | 2020-07-28 |
| 1982221123 | Margaret Claire Fromuth | Marriage & Family Therapist | 233 S 6th St Ste 3763, Philadelphia, PA 19106-3749 | 2020-07-04 |
| 1467077941 | Eileen Pitt | Marriage & Family Therapist | 2127 Homer St, Philadelphia, PA 19138-1935 | 2020-06-10 |
| 1154957686 | Akilah Pierre | Marriage & Family Therapist | 5049 Copley Rd, Philadelphia, PA 19144-4802 | 2020-03-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on MS. FERNANDA ANN FORMEL.
| 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.