MELISSA L HERTRICH (NPI# 1730144619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730144619 |
| Entity Type | Individual |
| Full Name | MELISSA L HERTRICH |
| Credential | PSY.D |
| Practice Address |
3550 Concord Rd York PA 17402-8626 |
| Mailing Address |
1803 Mount Rose Ave Ste B3 York PA 17403-3026 |
| Practice Telephone | 7178516340 |
| Practice Fax Number | 7178516349 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516349 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS015562 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 1884139 | 01 |
| Street Address |
3550 CONCORD RD |
| City | YORK |
| State | PA |
| Zip Code | 17402-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050778 | Frank Joseph Stanko | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2005-11-15 |
| 1336769348 | Catherine Hewlett | Nurse Practitioner | 3550 Concord Rd, York, PA 17402-8626 | 2020-04-20 |
| 1760022651 | Maureen K Staub | Social Worker | 3550 Concord Rd, York, PA 17402-8626 | 2020-01-09 |
| 1790331221 | Mary Catherine Norman | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2019-08-12 |
| 1073016515 | Alexandra Mattern-roggelin | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2018-03-12 |
| 1447708292 | Ariel Nickesha Nickie | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2016-09-21 |
| 1083000806 | Lindsay Elizabeth Campbell | Psychiatry & Neurology | 3550 Concord Rd, York, PA 17402-8626 | 2015-04-08 |
| 1134535628 | Brienna Rauhauser | Social Worker | 3550 Concord Rd, York, PA 17402-8626 | 2014-07-07 |
| 1669806659 | Lori Warner Barth | Nurse Practitioner | 3550 Concord Rd, York, PA 17402-8626 | 2013-08-26 |
| 1881027480 | Karen Jean Ahern | Counselor | 3550 Concord Rd, York, PA 17402-8626 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553818 | Chrissi Hart | Psychologist | 10 S Rockburn St, York, PA 17402-2862 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
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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.