DR. IAN BIRKY (NPI# 1730236472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730236472 |
| Entity Type | Individual |
| Full Name | DR. IAN BIRKY |
| Credential | PH.D. |
| Practice Address |
36 University Dr Bethlehem PA 18015-3062 |
| Practice Telephone | 6107583880 |
| Practice Fax Number | 6107586207 |
| Mailing Telephone | 6107583880 |
| Mailing Fax Number | 6107586207 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS005098L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE NUMBER | PS005098L | 01 |
| Street Address |
36 UNIVERSITY DR |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941238 | Adriane Christine Stasurak | Nurse Practitioner | 36 University Dr, Bethlehem, PA 18015-3062 | 2005-09-08 |
| 1912395278 | Aaron Sterba | Psychologist | 36 University Dr, Bethlehem, PA 18015-3062 | 2015-01-08 |
| 1629480280 | Laurie Gray Evans | Psychologist | 36 University Dr, Bethlehem, PA 18015-3062 | 2014-05-29 |
| 1265550545 | Kathleen M Brehm | Registered Nurse | 36 University Dr, Lehigh Univ Health Center, Bethlehem, PA 18015-3062 | 2007-03-26 |
| 1144326331 | Jeffrey Scott Vanlone | Psychologist | 36 University Dr, 414 Johnson Hall, Lehigh University, Bethlehem, PA 18015-3062 | 2006-09-15 |
| 1558465864 | Susan Comer Kitei | General Practice | 36 University Dr, Bethlehem, PA 18015-3061 | 2006-09-08 |
| 1497787006 | Sarah Stevens | Internal Medicine | 36 University Dr, Bethlehem, PA 18015 | 2006-07-06 |
| 1437185238 | Nichole L Hartman | Nurse Practitioner | 36 University Dr, Johnson Hall, Health and Wellness Center, Bethlehem, PA 18015-3061 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402682 | Anna Violet Sheedy | Psychologist | 1 W Broad St Ste 810, Bethlehem, PA 18018-5877 | 2018-09-30 |
| 1235612482 | Eleanor Benner | Psychologist | 1 Bethlehem Plz Ste 8101, Bethlehem, PA 18018-5754 | 2018-09-13 |
| 1366959488 | Stephen J Sell | Psychologist | 35 E Elizabeth Ave Ste 26, Bethlehem, PA 18018-6505 | 2018-01-10 |
| 1063950517 | Brooke Hoffman | Psychologist | 4439 Harriet Ln, Bethlehem, PA 18017-8418 | 2017-02-04 |
| 1366844946 | Julie Amato | Psychologist | 3400 Bath Pike Ste 302, Bethlehem, PA 18017-2485 | 2014-09-25 |
| 1275785453 | Tanya Rene Waters | Psychologist | 807 W Broad St, Bethlehem, PA 18018-5223 | 2008-10-19 |
| 1760515712 | Nancy Ann Killackey | Psychologist | 4383 Hecktown Road, Bethlehem, PA 18020 | 2007-03-13 |
| 1043322829 | David Walter Durka | Psychologist | Dr D Durka 3201 Highfield Dr Suite H Bethlehem Pa 18020, Bethlehem, PA 18020-1113 | 2006-08-31 |
| 1154341246 | David R. Youngelman | Psychologist | 3864 Adler Place, Suite 500, Bethlehem, PA 18017 | 2006-07-20 |
| 1801849583 | Joel B. Ingersoll | Psychologist | 227 W Broad St, Suite 205, Bethlehem, PA 18018-5570 | 2006-05-17 |
| Find all providers in BETHLEHEM | ||||
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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.