DR. ADEMOLA FAWOLE (NPI# 1871080358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871080358 |
| Entity Type | Individual |
| Full Name | DR. ADEMOLA FAWOLE |
| Practice Address |
513 W Chocolate Ave Ste 100 Hershey PA 17033 |
| Mailing Address |
2726 Maxwell St Philadelphia PA 19136-1017 |
| Practice Telephone | 7178101974 |
| Practice Fax Number | 7177048476 |
| Mailing Telephone | 2159390572 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS018734 | PA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 3565-57 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1427c Province Ter, Menasha, WI 549527003 | 9207389999 | 9202681921 |
| Street Address |
513 W CHOCOLATE AVE STE 100 |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306025887 | Mckenzie L Walker | Counselor | 513 W Chocolate Ave Ste 100, Hershey, PA 17033 | 2007-10-31 |
| 1720614126 | Megan Gibson | Counselor | 513 W Chocolate Ave Ste 100, Hershey, PA 17033-1632 | 2020-03-17 |
| 1922503200 | Nicole E Matero | Social Worker | 513 W Chocolate Ave Ste 100, Hershey, PA 17033-1632 | 2018-03-28 |
| 1992219588 | The Behavioral Health and Wellness Academy | Social Worker | 513 W Chocolate Ave Ste 100, Hershey, PA 17033 | 2017-11-19 |
| 1881135986 | Megan Amatrudo | Psychologist | 513 W Chocolate Ave Ste 100, Hershey, PA 17033-1632 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206755 | Hershey Psychological Services | Psychologist | 431 E Chocolate Ave Ste 2, Hershey, PA 17033-1310 | 2020-05-13 |
| 1104214121 | Christa Holland Johnson | Psychologist | 934 E Chocolate Ave, Hershey, PA 17033-1215 | 2014-12-29 |
| 1093042277 | Lee Ann Grisolano Phd PC | Psychologist | 405 E Chocolate Ave, 2nd Floore, Hershey, PA 17033-1331 | 2009-11-10 |
| 1316149834 | Counseling On West Chocolate | Psychologist | 614 Old W Chocolate Ave., Hershey, PA 17033-1901 | 2007-06-05 |
| 1952363020 | Rebecca Marie Lafountain | Psychologist | 614 W Chocolate Ave, Hershey, PA 17033-1940 | 2006-04-04 |
| 1063405173 | Nancy L Rogers | Psychologist | 441 E Chocolate Ave, Hershey, PA 17033-1324 | 2005-08-24 |
| 1053316307 | Nicholas Alexander Pappas | Psychologist | 315 Townhouse, Hershey, PA 17033 | 2005-06-14 |
| 1295354256 | Kristina M Puzino | Psychologist | 500 University Dr, Hershey, PA 17033-2360 | 2020-04-10 |
| 1275152464 | Rafat Omar | Psychologist | 500 University Dr, Hershey, PA 17033-2360 | 2020-04-09 |
| 1780210732 | Gregory Amatrudo | Psychologist | 513 W Chocolate Ave, Hershey, PA 17033-1632 | 2020-03-20 |
| Find all providers in HERSHEY | ||||
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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.