MALLORY BASTIN (NPI# 1841749611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841749611 |
| Entity Type | Individual |
| Full Name | MALLORY BASTIN |
| Credential | M.ED, LPC |
| Practice Address |
16055 Perry Hwy Building 3 Wexford PA 15090-6821 |
| Practice Telephone | 7245022162 |
| Practice Fax Number | 7244438939 |
| Mailing Telephone | 7245022162 |
| Mailing Fax Number | 7244438939 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC008986 | PA | Behavioral Health & Social Service Providers |
| Street Address |
16055 PERRY HWY BUILDING 3 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-6821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654577 | Nicole Shurina | Counselor | 16055 Perry Hwy, Wexford, PA 15090-6885 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257503 | Kailey Margaret Revi | Counselor | 101 N Meadows Dr # 234, Wexford, PA 15090-8368 | 2020-02-13 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1407236805 | Pamela Sue Hammons | Counselor | 311 Scarlet Cir, Wexford, PA 15090-8688 | 2015-06-02 |
| 1962890871 | Kathleen Susan Armbrecht | Counselor | 12121 Perry Hwy, Wexford, PA 15090-8345 | 2014-12-30 |
| 1013214808 | Balanced Heart Healing Center, Inc. | Counselor | 12703 Perry Hwy, Wexford, PA 15090-8441 | 2011-02-15 |
| 1396078481 | Dominick Costanza | Counselor | 306 Osprey Ct, Wexford, PA 15090-2509 | 2009-09-08 |
| 1093958498 | Carolyn G. Holden | Counselor | 30 Maple Dr, Suite A, Wexford, PA 15090-8327 | 2009-04-14 |
| 1316041312 | Daniel P Brooks | Counselor | 9983 Perry Highway, Mercy Behavioral Health, Wexford, PA 15090-9297 | 2006-09-11 |
| 1285674226 | Meier Clinics Foundation | Counselor | 6200 Brooktree Rd, Suite 110, Wexford, PA 15090-9299 | 2006-06-07 |
| 1629067087 | Michelle Metz-foley | Counselor | 10475 Perry Hwy, Town Centre, Suite 300, Wexford, PA 15090-9274 | 2005-10-18 |
| Find all providers in WEXFORD | ||||
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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.