THE ART OF FRIENDSHIP SOCIAL SKILLS PROGRAM, PC (NPI# 1801012711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801012711 |
| Entity Type | Organization |
| Organization Name | THE ART OF FRIENDSHIP SOCIAL SKILLS PROGRAM, PC |
| Other Organization Name | CHILD AND FAMILY ART THERAPY CENTER |
| Practice Address |
600 Haverford Rd Ste G101 Haverford PA 19041-1139 |
| Mailing Address |
45 Trent Rd Wynnewood PA 19096-3834 |
| Practice Telephone | 6106491080 |
| Practice Fax Number | 6106490503 |
| Mailing Telephone | 6106496871 |
| Mailing Fax Number | 6106490503 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | MR. MICHAEL P FOGEL (OWNER, PRESIDENT) |
| Authorized Official Telephone | 6106491080 |
| Authorized Official Credential | MA, ATR-BC, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PC001526 | PA | Behavioral Health & Social Service Providers |
| N | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Child and Family Art Therapy Center | Doing Business As Name - Organization |
| Child and Family Art Therapy Center | Other Name - Individual/Organization |
| Street Address |
600 HAVERFORD RD STE G101 |
| City | HAVERFORD |
| State | PA |
| Zip Code | 19041-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233130 | Celeste Wade | Counselor | 600 Haverford Rd Ste G101, Haverford, PA 19041-1139 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285172999 | Linda G Tessler | Psychologist | 103 Green Lane, Haverford, PA 19041 | 2017-02-02 |
| 1255626529 | Haverford College Health Services | Registered Nurse | 370 Lancaster Avenue, Haverford, PA 19041 | 2011-06-15 |
| 1316256050 | Deborah Jean Gunton | Psychologist | 349 West Lancaster Avenue, Suite 201, Haverford, PA 19041 | 2010-09-29 |
| 1629390695 | Moira L Kowalczyk | Occupational Therapist | 551 West Lancaster Avenue, Haverford, PA 19041 | 2010-02-18 |
| 1528398724 | John Antoniades | Radiology | 404 Richard Knoll, Haverford, PA 19041 | 2010-01-11 |
| 1215264262 | Robert Frederick Plotkin | Pediatrics | 3300 Darby Rd., Apt 1310, Haverford, PA 19041 | 2009-11-12 |
| 1396984662 | Joel E Wasley | Dentist | 268 West Montgomery Avenue, Haverford, PA 19041 | 2009-02-11 |
| 1538325105 | Joseph Anthony Gwiszcz Jr. | Pediatrics | 600 Haverford Road., Suite 100, Haverford, PA 19041 | 2008-08-04 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1972790319 | Lene H Larsen | Psychologist | 349 W. Lancaster Avenue, Suite 103, Haverford, PA 19041 | 2007-10-01 |
| Find all providers in zip 19041 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231191 | Kristina S Ferrari | Counselor | 551 W Lancaster Ave Ste 212, Haverford, PA 19041-1419 | 2019-02-20 |
| 1285233130 | Celeste Wade | Counselor | 600 Haverford Rd Ste G101, Haverford, PA 19041-1139 | 2020-10-21 |
| 1619580495 | Brenda Del Carmen | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2020-08-31 |
| 1891340493 | Megan Klobedanz | Counselor | 600 Haverford Rd, Haverford, PA 19041-1139 | 2019-08-09 |
| 1255894895 | Marlo Hall | Counselor | 551 W Lancaster Ave Ste 212, Haverford, PA 19041-1419 | 2019-04-10 |
| 1861961203 | Lauren Elizabeth Keith | Counselor | 600 Haverford Rd Ste G104, Haverford, PA 19041-1139 | 2018-11-14 |
| 1396222410 | Kenyetta Jean-marie Staton | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-07-21 |
| 1952842296 | Nanette Farrell | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2017-03-20 |
| 1093118820 | Nicole Streets | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2014-10-07 |
| 1386932366 | Main Line Therapy Solutions, LLC | Counselor | 600 Haverford Rd, Suite G104, Haverford, PA 19041-1139 | 2011-07-12 |
| Find all providers in HAVERFORD | ||||
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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.