DR. THADDEUS MICHAEL MIDAS (NPI# 1740249630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740249630 |
| Entity Type | Individual |
| Full Name | DR. THADDEUS MICHAEL MIDAS |
| Credential | PH.D. |
| Practice Address |
701 Bridge St Suite 206 Lehighton PA 18235-1800 |
| Practice Telephone | 6103776155 |
| Practice Fax Number | 6103779765 |
| Mailing Telephone | 6103776155 |
| Mailing Fax Number | 6103779765 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PS003455-L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 50008809 | 01 |
| PA | AETNA | 4455111 | 01 |
| PA | NORTHEAST BLUE CROSS BLUE SHIELD | 818748 | 01 |
| Street Address |
701 BRIDGE ST SUITE 206 |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851702799 | David Marouchoc | Social Worker | 701 Bridge St, Ste 206, Lehighton, PA 18235-1800 | 2014-05-14 |
| 1114187283 | Bayada Home Health Care, Inc. | Home Health | 701 Bridge St, Suite 201, Lehighton, PA 18235-1800 | 2008-06-12 |
| 1285661066 | James R Schwab | Psychologist | 701 Bridge St, Lehighton, PA 18235-1800 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
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|---|---|---|---|---|
| 1992357263 | Nina Kasser Sidell | Psychologist | 1601 Heard Dr, Maple Glen, PA 19002-3163 | 2019-07-16 |
| 1760902753 | Harmony Wellness Group Inc | Psychologist | 9150 Marshall St Ste 16, Philadelphia, PA 19114-2217 | 2017-06-21 |
| 1619193000 | Mary Theresa Reaney | Psychologist | 31 Bishop Hollow Rd, Newtown Square, PA 19073 | 2007-04-17 |
| 1437238128 | Wes Corpration | Psychologist | 1321 Arch St Ste 201, Philadelphia, PA 19107-2116 | 2006-11-03 |
| 1265532600 | Bluestem Behavioral Health Group LLC | Psychologist | 336 College Ave Ste 104, Beaver, PA 15009-2231 | 2006-09-25 |
| 1578934048 | Janice Price, M.a. | Psychologist | 86 W Adamsdale Rd, Schuylkill Haven, PA 17972-8625 | 2015-10-09 |
| 1598167553 | Forensic Mental Health Service, LLC | Psychologist | 1241 Vine St, Philadelphia, PA 19107-1111 | 2014-09-22 |
| 1598025421 | Catholic Charities of The Diocese of Harrisburg, Pa | Psychologist | 333 N Arch St, Selh Arch Street Center, Lancaster, PA 17603-2928 | 2012-05-25 |
| 1083998934 | Vision Counseling Services,llc | Psychologist | 1843 Route 209, Safeway Storage Complex, Brodheadsville, PA 18322-7134 | 2011-10-10 |
| 1851693956 | The Stern Center of Allegheny | Psychologist | 21 Yost Blvd, Cost Commons 5, Suite 303, Pittsburgh, PA 15221-5283 | 2010-11-22 |
| Find all providers with the same taxonomy | ||||
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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.