LISA MASTOON (NPI# 1730729443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730729443 |
| Entity Type | Individual |
| Full Name | LISA MASTOON |
| Practice Address |
9140 Academy Rd Philadelphia PA 19114-2853 |
| Mailing Address |
4833 Hulmeville Rd Bensalem PA 19020-3099 |
| Practice Telephone | 2156385200 |
| Mailing Telephone | 2156385200 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4833 Hulmeville Rd, Bensalem, PA 190203099 | 2156385200 |
| Street Address |
9140 ACADEMY RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056555 | Randall N Smith | Orthopaedic Surgery | 9140 Academy Rd, Suite A, Philadelphia, PA 19114-2853 | 2005-07-12 |
| 1669991535 | Mary Cummings | Counselor | 9140 Academy Rd, Philadelphia, PA 19114-2853 | 2017-09-12 |
| 1407254535 | Richard H. Kaplan, Md, PC | Orthopaedic Surgery | 9140 Academy Rd, Suite A, Philadelphia, PA 19114-2853 | 2014-12-05 |
| 1942551916 | Ngoc Do | Physician Assistant | 9140 Academy Rd, Philadelphia, PA 19114-2853 | 2012-09-30 |
| 1922179464 | Academy Physical Medicine, P.C. | Chiropractor | 9140 Academy Rd, Suite K, Philadelphia, PA 19114-2853 | 2006-11-13 |
| 1164538781 | Richard H. Kaplan, M.d., P.C. | Chiropractor | 9140 Academy Rd, Suite A, Philadelphia, PA 19114-2853 | 2006-08-23 |
| 1437166816 | Robert Alan Cimino Jr. | Chiropractor | 9140 Academy Rd, Suite K, Philadelphia, PA 19114-2853 | 2006-08-01 |
| 1225051501 | Robert J Ricchetti | Pediatrics | 9140 Academy Rd, Ste G, Philadelphia, PA 19114 | 2006-07-26 |
| 1861457087 | Delaware Valley Orthopaedic Assoc Ltd. | Specialist | 9140 Academy Rd, Suite A, Philadelphia, PA 19114-2853 | 2006-04-19 |
| 1154393908 | Herbert Stein | Orthopaedic Surgery | 9140 Academy Rd, Suite A, Philadelphia, PA 19114-2853 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1275170763 | Erika Anaya Kellogg | Counselor | 3535 Market St Dept Of, Philadelphia, PA 19104-3309 | 2019-12-04 |
| 1568008480 | Heather Mcgee | Counselor | 3343 Bowman St, Philadelphia, PA 19129-1538 | 2019-11-26 |
| 1104468222 | Johann Ochoa | Counselor | 3900 Woodland Ave Bldg 3, Philadelphia, PA 19104-4551 | 2019-10-09 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1447805114 | Sobriety Now LLC. | Counselor | 100 S Broad St Ste 2230, Philadelphia, PA 19110-1021 | 2019-08-08 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1215400106 | David Francis Ross Sr. | Counselor | 622 W Chew Ave Ste 2, Philadelphia, PA 19120-2211 | 2019-01-03 |
| 1124502604 | Saida Heywood | Counselor | 1306 Catharine St, Philadelphia, PA 19147-2628 | 2018-09-20 |
| 1437649415 | Ashley Przywitowski | Counselor | 9815 Roosevelt Blvd Ste B, Philadelphia, PA 19114-1035 | 2018-05-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on LISA MASTOON.
| 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.