DR. JOHN MARCELLO GENTRY (NPI# 1811939663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811939663 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARCELLO GENTRY |
| Credential | PSYD |
| Practice Address |
928 Jaymor Rd Suite B-150 Southampton PA 18966-3826 |
| Practice Telephone | 2159478654 |
| Practice Fax Number | 2159387607 |
| Mailing Telephone | 2159478654 |
| Mailing Fax Number | 2159387607 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS004299L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871549691 | John Scott Gentry | Optometrist | 2328 Knob Creek Rd, Suite 506, Johnson City, TN 37604-2100 | 2006-05-25 |
| 1407141633 | John Daniel Gentry | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1144529280 | John Morgan Gentry | Pharmacist | 87458 Us Highway 278, Altoona, AL 35952-9638 | 2011-03-15 |
| 1932351061 | John M. Gentry | Nurse Practitioner | 141 Piedmont Ave Ne Ste D, Atlanta, GA 30303-2417 | 2008-10-21 |
| 1699987131 | John Gentry | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514 | 2007-05-04 |
| 1477642205 | John D. Gentry | Pathology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-10-12 |
| 1306935416 | John S Gentry | Pharmacist | 101 Legion Dr, Central City, KY 42330-1496 | 2006-10-12 |
| Street Address |
928 JAYMOR RD SUITE B-150 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689647059 | Samuel Paul Purpura Jr. | Internal Medicine | 928 Jaymor Rd, Ste A-100, Southampton, PA 18966 | 2006-02-08 |
| 1710364567 | Victoria Schultheis | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2015-04-30 |
| 1962845636 | Shadana Davis | Psychologist | 928 Jaymor Rd, Suite B-150, Southampton, PA 18966-3826 | 2013-04-12 |
| 1760727408 | Growth Opportunity Center | Community/Behavioral Health | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-12-06 |
| 1477829844 | Growth Opportunity Center | Counselor | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-03-29 |
| 1164733408 | Bucks Mont Psychotherapy LLC | Psychologist | 928 Jaymor Rd, Suite A-120, Southampton, PA 18966-3826 | 2010-07-01 |
| 1861714701 | Christina Marie King | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2010-02-19 |
| 1083880710 | Cichetti & Delligatti Orthodontics PC | Dentist | 928 Jaymor Rd, Suite 130a, Southampton, PA 18966-3826 | 2008-05-02 |
| 1902943178 | Hyung Yeo | Psychiatry & Neurology | 928 Jaymor Rd, Suite B150, Southampton, PA 18966-3826 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on DR. JOHN MARCELLO GENTRY.
| 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.