MR. SHANE WILLIAM HARTIE (NPI# 1861894693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861894693 |
| Entity Type | Individual |
| Full Name | MR. SHANE WILLIAM HARTIE |
| Credential | MDIV |
| Practice Address |
551 W Lancaster Ave Haverford PA 19041-1419 |
| Mailing Address |
4336 Teesdale St Philadelphia PA 19136-3903 |
| Practice Telephone | 6105261974 |
| Mailing Telephone | 9043022332 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PA | Behavioral Health & Social Service Providers |
| Street Address |
551 W LANCASTER AVE |
| City | HAVERFORD |
| State | PA |
| Zip Code | 19041-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235118407 | Ildiko Korenyi-both | Internal Medicine | 551 W Lancaster Ave, Suite 205, Haverford, PA 19041-1419 | 2006-01-16 |
| 1053931816 | Domenick Miles | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2020-04-22 |
| 1952873416 | Victoria Drummond | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-12-21 |
| 1659849099 | Anthony Austin Jr. | Behavior Technician | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-11-04 |
| 1841774783 | Conor O'brien Smith | Behavior Technician | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-09-17 |
| 1396222410 | Kenyetta Jean-marie Staton | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-07-21 |
| 1376928754 | Lorenzo Alleyne | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-07-27 |
| 1669867255 | Tynesha Cofield | Behavioral Analyst | 551 W Lancaster Ave, 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-04-01 |
| 1518356740 | Caryn Michelle Hurlock | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-01-12 |
| 1093118820 | Nicole Streets | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2014-10-07 |
| Find all providers in the same location | ||||
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053931816 | Domenick Miles | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2020-04-22 |
| 1952873416 | Victoria Drummond | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-12-21 |
| 1376928754 | Lorenzo Alleyne | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-07-27 |
| 1215053012 | Katrina Carr- Thinner | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810781 | Marina Kogot James | Counselor | 123 New St, Glenside, PA 19038-4511 | 2020-10-30 |
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1245838309 | Karen Cowell | Counselor | 220 Redfield Dr, Oakdale, PA 15071-1732 | 2020-10-12 |
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1477169217 | Sharmayne Bolling | Counselor | 272 East Connelly Blvd, Sharon, PA 16146 | 2020-09-17 |
| 1235745209 | Kelli Ann Frey | Counselor | 523 Lenore Pl, Reading, PA 19609-1223 | 2020-09-16 |
| 1750996179 | Angelina Privitera | Counselor | 1093 Douglass Dr, Apt A, Boyertown, PA 19512 | 2020-09-11 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1366057135 | Meg Barnes | Counselor | 3501 Forbes Ave # 9, Pittsburgh, PA 15213-3317 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.