MISS BROOKE NICOLE SANDERSON (NPI# 1871842591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871842591 |
Entity Type | Individual |
Full Name | MISS BROOKE NICOLE SANDERSON |
Credential | PSYD |
Practice Address |
95 Enterprise St Ste 104 Elizabeth PA 15037-2070 |
Practice Telephone | (412) 370-4848 |
Mailing Telephone | (412) 370-4848 |
Enumeration Date | 2012-09-10 |
Last Update Date | 2017-06-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
PC006524 | PA | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS018190 | PA | Behavioral Health & Social Service Providers |
Street Address |
95 ENTERPRISE ST STE 104 |
City | ELIZABETH |
State | PA |
Zip Code | 15037-2070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710599147 | Abigail Audenried | Counselor | 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 | 2020-08-18 |
1679998033 | Catherine Michelle Slafka | Counselor | 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 | 2014-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730564568 | Colleen A. Conlon | Dentist | 125 Rock Run Rd, Elizabeth, PA 15037 | 2015-07-22 |
1417010984 | Gerald E Pepe | Dentist | 125 Rock Run Road, Elizabeth, PA 15037 | 2006-12-18 |
1811081367 | L Robert Rack | Pharmacist | 404 Belfrey Drive, Elizabeth, PA 15037 | 2006-10-02 |
1952322026 | Elizabeth Township Area Ems | Ambulance | 911 Swiss Way, Elizabeth Township, PA 15037 | 2006-07-22 |
1407884927 | Amy Yurkovich | Specialist | 605 Scenery Drive, Elizabeth, PA 15037 | 2006-06-30 |
1689638223 | Christopher R Greenawalt | Chiropractor | 214 Second Ave., Elizabeth, PA 15037 | 2006-04-12 |
1821078924 | Theodore R Sames Jr. | Optometrist | 238 Cresswood Dr, Elizabeth, PA 15037 | 2006-01-17 |
1912984931 | Douglas Skinner | Family Medicine | 300 Scenery Drive, Elizabeth Township Family Medicine PC, Elizabeth, PA 15037 | 2005-12-30 |
1538770581 | Ellis Paul Mirone | Pharmacist | 300 Market St, Elizabeth, PA 15037 | 2020-08-13 |
1518449214 | Carley Mingone | Pharmacist | 300 Market St, Elizabeth, PA 15037 | 2018-08-30 |
Find all providers in zip 15037 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457556847 | Emil Affsa IIi | Psychologist | 655 E Jersey St, Dept. of Behavioral Health & Psychiatry, Elizabeth, NJ 07206-1259 | 2007-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
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1497368260 | Marilia Marien | Psychologist | 713 Buck Ln, Haverford, PA 19041-1201 | 2020-08-31 |
1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
1891308706 | Yuhong He | Psychologist | 34 Overlook Cir, Garnet Valley, PA 19060-2248 | 2020-08-28 |
1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
1891315750 | Anne Patricia Myers | Psychologist | 605 W Street Rd, Warminster, PA 18974-3214 | 2020-04-21 |
1326673120 | Life Line Community Ministries LLC | Psychologist | 9398 Birch Ln, Tobyhanna, PA 18466-3846 | 2020-03-12 |
1669005203 | North Shore Counseling Services | Psychologist | 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 | 2020-02-21 |
1184274946 | St. Luke's Hospital | Psychologist | 512 Bank Street, Bowmanstown, PA 18030 | 2019-09-13 |
1780241661 | Gregory Tucker | Psychologist | 780 E Market St Ste 220&230, West Chester, PA 19382-4882 | 2019-05-25 |
1023674199 | Kara Mcquaid | Psychologist | 555 Second Ave Ste B-300, Collegeville, PA 19426-3636 | 2019-05-14 |
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.