BRUCE WEATHERLY (NPI# 1891040903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891040903 |
| Entity Type | Individual |
| Full Name | BRUCE WEATHERLY |
| Credential | PSY |
| Practice Address |
5630 Devonshire Rd Harrisburg PA 17112-3911 |
| Mailing Address |
344 S 13th St Harrisburg PA 17104-1777 |
| Practice Telephone | 8148762938 |
| Practice Fax Number | 4105690094 |
| Mailing Telephone | 8148762938 |
| Mailing Fax Number | 4105690094 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS-005590-L | PA | Behavioral Health & Social Service Providers |
| Street Address |
5630 DEVONSHIRE RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104201557 | Emma Pyle | Social Worker | 5630 Devonshire Rd, Harrisburg, PA 17112-3911 | 2015-07-28 |
| 1659626588 | Safe Harbor Christian Counseling of Mid-pennsylvania LLC | Psychologist | 5630 Devonshire Rd, Harrisburg, PA 17112-3911 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| 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 |
|---|---|---|---|---|
| 1881162766 | Nancy J. Patrick, Ph.d. LLC | Psychologist | 6230 Jonestown Rd Ste A, Harrisburg, PA 17112-6257 | 2018-11-08 |
| 1174007462 | Nancy Jo Patrick | Psychologist | 6230 Old Jonestown Rd Ste A, Harrisburg, PA 17112-6257 | 2018-09-21 |
| 1093204539 | Bettina Franzese | Psychologist | 205 S Front St Fl 5, Harrisburg, PA 17104-1619 | 2018-05-09 |
| 1306227111 | Tawanda Unique Brown | Psychologist | 1809 Zarker St, Harrisburg, PA 17104-1351 | 2015-06-17 |
| 1235460551 | Michelle D Woehr | Psychologist | 4740 Myers Ln, Harrisburg, NC 28075-7607 | 2010-01-26 |
| 1306035274 | Andrea Johnson Yost | Psychologist | 5405 Jonestown Rd Ste 103, Harrisburg, PA 17112-4021 | 2007-10-17 |
| 1245446673 | Robert William Shambaugh | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2007-05-15 |
| 1174647762 | Aidan Altenor | Psychologist | 32 Circle Drive-dgs Complex Annex, Beechmont Building, Harrisburg, PA 17105-2675 | 2007-03-19 |
| 1013093996 | Mark E Bigger | Psychologist | 205 S Front Street, 5th Fl, Bma, Harrisburg, PA 17104 | 2006-10-31 |
| 1659382190 | Christine Clare Ganis | Psychologist | 4701 Devonshire Road, Suite 101, Harrisburg, PA 17109-1746 | 2006-08-10 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
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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.