STEPHEN DOUGLAS BENNETT (NPI# 1770194029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770194029 |
| Entity Type | Individual |
| Full Name | STEPHEN DOUGLAS BENNETT |
| Credential | MA, NCC, LBS |
| Practice Address |
390 Waterloo Blvd Exton PA 19341-2624 |
| Mailing Address |
304 Birmingham Way Exton PA 19341-2745 |
| Practice Telephone | 6103635500 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH004783 | PA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396466 | Stephen Noel Bennett | Counselor | 1772 Hoonanea St, Kihei, HI 96753-8041 | 2012-08-21 |
| 1467524702 | Stephen J Bennett | Specialist | 309 E 104th St, New York, NY 10029-5514 | 2006-11-14 |
| 1013978766 | Stephen Gerald Bennett | Family Medicine | 4140 Southwest Hwy, Hometown, IL 60456-1135 | 2006-03-31 |
| 1013989235 | Stephen Higgs Bennett IIi | Specialist | 1045 E 3900 S, Suite 201, Salt Lake City, UT 84124-1100 | 2006-02-02 |
| 1285622589 | Stephen A Bennett | Physician Assistant | 1128 Ne 2nd St, Suite 201, Corvallis, OR 97330-6230 | 2005-10-11 |
| 1841890910 | Stephen Travis Bennett | Pharmacist | 11020 S Elm St, Jenks, OK 74037-3002 | 2020-10-28 |
| 1366094484 | Stephen Carl Bennett | Occupational Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-09 |
| 1558855932 | Stephen Bennett | Speech-Language Pathologist | 602 Vonderburg Dr Ste 201, Brandon, FL 33511 | 2018-06-19 |
| 1104223361 | Stephen Bennett Sr. | Behavioral Analyst | 410 N Prince St, Lancaster, PA 17603-3010 | 2014-12-03 |
| 1730426677 | Stephen R Bennett | Pharmacist | 148 Walnut Ln, Travelers Rest, SC 29690-1600 | 2013-01-11 |
| Street Address |
390 WATERLOO BLVD |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441673 | Kenan Aksu | Orthopaedic Surgery | 390 Waterloo Blvd, Suite 200, Exton, PA 19341-2603 | 2006-01-17 |
| 1366040834 | Rachel Marie Lawson | Behavioral Analyst | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2020-10-15 |
| 1710595293 | Alyssa Jennifer Bauer | Behavioral Analyst | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2020-07-21 |
| 1083267371 | Jessica Marie Miller | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2019-07-16 |
| 1073019931 | Jessica Benzing | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2018-03-31 |
| 1023512845 | Nathan S Scarbrough | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2018-03-19 |
| 1073024956 | Americ Quandt-mccullagh | Occupational Therapist | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2017-10-18 |
| 1063966307 | T.w. Ponessa & Associates Counseling Services Inc | Counselor | 390 Waterloo Blvd, Suite 120, Exton, PA 19341-2603 | 2016-08-03 |
| 1851751002 | Kristin Reagan | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2603 | 2016-03-01 |
| 1982079968 | Melanie Hunt | Marriage & Family Therapist | 390 Waterloo Blvd, Exton, PA 19341-2603 | 2015-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505258 | Penn Foundation Inc | Community/Behavioral Health | 403a Gordon Dr, Exton, PA 19341-1249 | 2019-06-05 |
| 1093180937 | Positive Supports | Community/Behavioral Health | 109 Conway Ct, Exton, PA 19341-2913 | 2015-12-03 |
| 1376783290 | Holcomb Associates, Inc. | Community/Behavioral Health | 469 Creamery Way, Oakland Corporate Center, Exton, PA 19341-2546 | 2009-03-05 |
| 1083670590 | Holcomb Associates, Inc. | Community/Behavioral Health | 467 Creamery Way, Exton, PA 19341-2508 | 2006-04-24 |
| 1124480926 | Creative Counseling and Wellness LLC | Community/Behavioral Health | 47 Marchwood Rd, Suite 2a-8, Exton, PA 19341-1835 | 2016-03-22 |
| 1932580651 | Holcomb Behavioral Health | Community/Behavioral Health | 467 Creamery Way, Exton, PA 19341-2508 | 2015-06-18 |
| 1639568199 | Main Line Health | Community/Behavioral Health | 479 Thomas Jones Way, Exton, PA 19341-2580 | 2015-01-21 |
| 1245658996 | Center for Addictive Diseases | Community/Behavioral Health | 479 Thomas Jones Way, Exton, PA 19341-2580 | 2014-03-31 |
| 1750706198 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 479 Thomas Jones Way, Suite 100, Exton, PA 19341-2580 | 2014-02-21 |
| 1265688188 | Main Line Rehabilitation Associates | Community/Behavioral Health | 668 Exton Cmns, Exton, PA 19341-2446 | 2008-08-12 |
| Find all providers in EXTON | ||||
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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.