BROWNBACK, MASON AND ASSOCIATES (NPI# 1720189970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720189970 |
Entity Type | Organization |
Organization Name | BROWNBACK, MASON AND ASSOCIATES |
Practice Address |
1702 W Walnut St Allentown PA 18104-6741 |
Practice Telephone | 6104341540 |
Practice Fax Number | 6104346775 |
Mailing Telephone | 6104341540 |
Mailing Fax Number | 6104346775 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. LINDA BROWNBACK (DIRECTOR) |
Authorized Official Telephone | 6104341540 |
Authorized Official Credential | M.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS-003380-L | PA | Behavioral Health & Social Service Providers |
Street Address |
1702 W WALNUT ST |
City | ALLENTOWN |
State | PA |
Zip Code | 18104-6741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043577919 | Jennifer L Smith | Social Worker | 1702 W Walnut St, Allentown, PA 18104-6741 | 2012-04-17 |
1932298742 | Thomas Samuel Brownback | Psychologist | 1702 W Walnut St, Allentown, PA 18104-6741 | 2006-10-11 |
1801985619 | Linda Brownback | Psychologist | 1702 W Walnut St, Allentown, PA 18104-6741 | 2006-10-11 |
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---|---|---|---|---|
1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
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Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
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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.