KELLY NYDEGGER (NPI# 1730702218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730702218 |
| Entity Type | Individual |
| Full Name | KELLY NYDEGGER |
| Practice Address |
950 E Haverford Rd Ste 100a Bryn Mawr PA 19010-3850 |
| Mailing Address |
529 Conarroe St Philadelphia PA 19128-1629 |
| Practice Telephone | 2672236380 |
| Mailing Telephone | 4845290944 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC009208 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10632 Little Patuxent Pkwy Ste 230, Columbia, MD 210446259 | 2672236380 | |
| 2700 Silverside Rd Ste 4, Wilmington, DE 198103724 | 2672236380 | |
| 529 Conarroe St, Philadelphia, PA 191281629 | 4845290944 |
| Street Address |
950 E HAVERFORD RD STE 100A |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348820 | Kaleidoscope Family Solutions Aba Inc. | Behavioral Analyst | 950 E Haverford Rd Ste 100a, Bryn Mawr, PA 19010-3850 | 2018-12-28 |
| 1730705310 | Jennifer Elizabeth Copeland | Behavioral Analyst | 950 E Haverford Rd Ste 100a, Bryn Mawr, PA 19010-3850 | 2020-06-19 |
| 1083170245 | Alena Subacus | Behavior Technician | 950 E Haverford Rd Ste 100a, Bryn Mawr, PA 19010-3850 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813951 | Dawn Altman | Counselor | 28 Garrett Ave Ste 202, Bryn Mawr, PA 19010-1400 | 2020-08-28 |
| 1205181344 | Kfs | Counselor | 1084 E Lancaster Ave, 2nd Floor, Bryn Mawr, PA 19010-1515 | 2012-07-15 |
| 1336415009 | Ruth Kirzner | Counselor | 433 Hollybush Rd, Bryn Mawr, PA 19010-1234 | 2012-03-28 |
| 1447483391 | Sara M Ralph | Counselor | 26 Summit Grove Ave Ste 211, Bryn Mawr, PA 19010-3230 | 2009-08-26 |
| 1174761266 | Joseph Altobelli | Counselor | 900 Montgomery Avenue, Bryn Mawr, PA 19010 | 2009-01-27 |
| 1346330305 | Susan Trigona | Counselor | 1062 E Lancaster Ave Ste 18d, Rosemont Plaza, Bryn Mawr, PA 19010-1565 | 2006-10-13 |
| 1295344075 | Katherine Grilli | Counselor | 26 Summit Grove Ave Ste 211, Bryn Mawr, PA 19010-3230 | 2020-07-28 |
| 1508496761 | Jamie Fenstermaker | Counselor | 452 S Roberts Rd, Bryn Mawr, PA 19010-1136 | 2020-01-16 |
| 1285273722 | Summit Grove Counseling, LLC | Counselor | 26 Summit Grove Ave Ste 211, Bryn Mawr, PA 19010-3230 | 2020-01-02 |
| 1972159291 | Kaitlyn Harkins | Counselor | 1062 E Lancaster Ave Ste 15, Bryn Mawr, PA 19010-1552 | 2019-08-13 |
| Find all providers in BRYN MAWR | ||||
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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.