DR. NEIL JACK LAVENDER (NPI# 1861836223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861836223 |
| Entity Type | Individual |
| Full Name | DR. NEIL JACK LAVENDER |
| Credential | PHD |
| Practice Address |
1026 Seaman Ave Beachwood NJ 08722-3406 |
| Practice Telephone | 7326740830 |
| Mailing Telephone | 7326740830 |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2013-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NJ2976 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1026 SEAMAN AVE |
| City | BEACHWOOD |
| State | NJ |
| Zip Code | 08722-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639245640 | Pedorthic Concepts Inc | Orthotist | 145 Atlantic City Blvd, Beachwood, NJ 08722 | 2006-11-28 |
| 1023190287 | Thomas Gray | Chiropractor | 683 Bay Ave, Toms River, NJ 08722 | 2006-10-19 |
| 1568832046 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 835 Forecastle Ave, Beachwood, NJ 08722-2407 | 2015-09-28 |
| 1295958395 | Kimberly Ann Veith | Social Worker | 645 Beachwood Blvd, Beachwood, NJ 08722-2505 | 2007-04-10 |
| 1427507607 | Patti Herrmann | Dietitian, Registered | 401 Halliard Ave, Beachwood, NJ 08722-2619 | 2016-09-28 |
| 1942603766 | Sara Petersen | Speech-Language Pathologist | 513 Leeward Ave, Beachwood, NJ 08722-2625 | 2014-10-07 |
| 1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
| 1801146576 | Christine Poane | Social Worker | 111 Admiral Ave, Beachwood, NJ 08722-2803 | 2012-09-11 |
| 1790229540 | Poane Counseling Services, LLC. | Community/Behavioral Health | 111 Admiral Ave, Beachwood, NJ 08722-2803 | 2016-12-13 |
| 1811367022 | Austin Port | Dentist | 15 Brigantine St, Beachwood, NJ 08722-2900 | 2015-09-30 |
| Find all providers in zip 08722 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897246 | Colleen Monn | Counselor | 21403 Chagrin Blvd Ste 195, Beachwood, OH 44122-5322 | 2019-08-25 |
| 1326602582 | Amy L. Gould, LLC | Counselor | 3659 S Green Road, Suite 101, Beachwood, OH 44122-5715 | 2019-04-23 |
| 1326552837 | Allison West Kaskey | Counselor | 24300 Chagrin Blvd Ste 209, Beachwood, OH 44122-5629 | 2017-11-20 |
| 1063951341 | Partners To Empowerment Wellness Center | Counselor | 3681 Green Rd Ste 406, Beachwood, OH 44122-5716 | 2017-02-20 |
| 1972059301 | Kristina Metcalf | Counselor | 23240 Chagrin Blvd Ste 500, Beachwood, OH 44122 | 2016-08-26 |
| 1790122422 | Elizabeth A Goodwin | Counselor | 3659 S. Green Rd, 100, Beachwood, OH 44122 | 2013-06-04 |
| 1972859353 | Christina Renee Hall | Counselor | 3355 Richmond Rd Ste 225, Beachwood, OH 44122-4180 | 2012-08-03 |
| 1477747996 | Frederick Joseph Baddour | Counselor | 3401 Enterprise Parkway, Suite 340, Beachwood, OH 44133-7340 | 2007-08-28 |
| 1003037623 | Melissa Nicole Daniele | Counselor | 23240 Chagrin Boulevard Suite 270, Beachwood, OH 44122 | 2007-05-01 |
| 1164581476 | Amy Christine Kalasunas | Counselor | 23875 Commerce Park, Suite 160, Beachwood, OH 44122-5805 | 2006-12-06 |
| Find all providers in BEACHWOOD | ||||
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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.