ALYSSA DEFAZIO (NPI# 1952803439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952803439 |
| Entity Type | Individual |
| Full Name | ALYSSA DEFAZIO |
| Credential | MPH |
| Practice Address |
11 Robinson Street Pottstown PA 19464 |
| Practice Telephone | 4849410500 |
| Mailing Telephone | 4849410500 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
11 ROBINSON STREET |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487696555 | Maureen Lloyd Nolan | Nurse Practitioner | 11 Robinson Street, Suite 100, Pottstown, PA 19464-6439 | 2006-06-12 |
| 1003319393 | Tirtha Sikdar | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2018-03-13 |
| 1083123335 | Genice Juliet Matos | Behavioral Analyst | 11 Robinson Street, Pottstown, PA 19464 | 2017-09-28 |
| 1821517152 | Kevin Kasper | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2017-09-19 |
| 1023537339 | Grace Renee Capuzzi | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2017-09-18 |
| 1417476128 | Jennifer Megan Flach | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2017-09-13 |
| 1841719838 | Emily Rich | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2017-09-12 |
| 1346768967 | John David Morant | Student in an Organized Health Care Education/Training Program | 11 Robinson Street, Pottstown, PA 19464 | 2017-09-04 |
| 1821516881 | Crystal Ann Valentine | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2017-08-30 |
| 1952829954 | Jenniffer Jimenez | Counselor | 11 Robinson Street, Pottstown, PA 19464 | 2017-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1316398886 | Hayley Ellen Brady | Counselor | 1165 Marcus Dr, Pottstown, PA 19465-1013 | 2016-06-27 |
| 1003272170 | Suzanne L Karpinski | Counselor | 606 W Schuylkill Rd, Apt. 317, Pottstown, PA 19465-9632 | 2016-01-05 |
| 1558707919 | Jasper Crosby | Counselor | 301 Circle of Progress, Pottstown, PA 19464-1948 | 2013-05-13 |
| 1427395169 | Molly C Mccarthy | Counselor | 2500 E High St, Bldg 800, Pottstown, PA 19464-3188 | 2013-01-15 |
| 1457583544 | Melissa A Hall | Counselor | 301 Circle of Progress Dr, Pottstown, PA 19464-3811 | 2009-08-22 |
| 1629210117 | Susan Hoisington Williams | Counselor | 11 Robinson Street Room F-9, Pottstown, PA 19464 | 2009-03-30 |
| 1659324713 | Judy Kay Gustafson | Counselor | 3310 W Ridge Pike, Suite 11, Pottstown, PA 19464-3450 | 2006-05-18 |
| 1104425362 | Bruce J Moll | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-10-20 |
| 1437764701 | Miranda Miller | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-09-13 |
| Find all providers in POTTSTOWN | ||||
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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.