DR. MICHAEL A DESTEFANO (NPI# 1982972378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982972378 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A DESTEFANO |
| Credential | PH.D. |
| Practice Address |
14 S Bryn Mawr Ave Suite 205 Bryn Mawr PA 19010-3216 |
| Mailing Address |
119 Kenilworth Rd Merion Station PA 19066-1309 |
| Practice Telephone | 6105254828 |
| Mailing Telephone | 6102462534 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS004910L | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS004910L | PA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS004910L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873369 | Michael Destefano | Physical Therapy Assistant | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2020-05-27 |
| 1407200116 | Michael Destefano | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-04-19 |
| 1326369943 | Michael William Destefano | Radiology | 1 Cooper Plz, Camden, NJ 08103 | 2010-06-17 |
| 1295912988 | Michael G Destefano | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2008-01-25 |
| 1588796320 | Michael Don Destefano | Pediatrics | 7000 W 111th St, Worth, IL 60482-1851 | 2007-03-09 |
| 1972536712 | Michael J Destefano | Social Worker | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-07 |
| 1609864040 | Michael Joseph Destefano | Obstetrics & Gynecology | 100 Navarre Pl, Ste. 4470, South Bend, IN 46601-1156 | 2005-10-10 |
| Street Address |
14 S BRYN MAWR AVE SUITE 205 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013029636 | Deborah Marie Signorino | Optometrist | 14 S Bryn Mawr Ave, Suite 100, Bryn Mawr, PA 19010-3216 | 2006-08-31 |
| 1689121543 | Shu-wen Wang | Psychologist | 14 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3216 | 2016-09-07 |
| 1912394867 | Stephen J Gershberg Dmd PC | Dentist | 14 S Bryn Mawr Ave, Suite #200, Bryn Mawr, PA 19010-3216 | 2015-04-17 |
| 1215377577 | Ruonan Zhang | Acupuncturist | 14 S Bryn Mawr Ave, Suite 101, Bryn Mawr, PA 19010-3216 | 2013-07-02 |
| 1780024042 | Tao Integrative Acupuncture | Acupuncturist | 14 S Bryn Mawr Ave, Suite 101, Bryn Mawr, PA 19010-3216 | 2013-07-01 |
| 1427340744 | Colleen Ann Quinn | Psychologist | 14 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3216 | 2011-05-04 |
| 1285937144 | Joshua Masse | Psychologist | 14 S Bryn Mawr Ave, #205, Bryn Mawr, PA 19010-3216 | 2010-12-15 |
| 1376846840 | Sandra Lee Walsh | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2010-12-06 |
| 1639486913 | Stephen J Gershberg | Dentist | 14 S Bryn Mawr Ave, Suite #200, Bryn Mawr, PA 19010-3216 | 2010-09-08 |
| 1245488972 | Janina Fendya | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2008-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| 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 |
|---|---|---|---|---|
| 1134734213 | Heejin Kim | Psychologist | 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010-1559 | 2020-09-15 |
| 1750990263 | Pattey Fong Psychology Associates | Psychologist | 1062 E Lancaster Ave Ste 25, Bryn Mawr, PA 19010-1567 | 2020-07-30 |
| 1114393907 | Deborah Caputo Rosen | Psychologist | 1116 Saint Andrews Rd, Bryn Mawr, PA 19010-1936 | 2015-08-14 |
| 1487998894 | Irene G Bowman | Psychologist | 930 Montgomery Ave, #107, Bryn Mawr, PA 19010-3044 | 2012-11-26 |
| 1396026563 | Brian Berman | Psychologist | 1062 E Lancaster Ave Ste 13a, Bryn Mawr, PA 19010-1565 | 2011-09-01 |
| 1912148289 | Alexis Bennett Rosenfeld | Psychologist | 1029 Wyndon Ave., Bryn Mawr, PA 19010 | 2009-03-17 |
| 1720224413 | Andrea Seeta Hiralall | Psychologist | 319 Countryview Dr, Bryn Mawr, PA 19010-2036 | 2008-12-30 |
| 1962680678 | Paula Jan Durlofsky | Psychologist | 403 Great Springs Rd, Bryn Mawr, PA 19010-1715 | 2008-02-05 |
| 1558559112 | Carole Reese Bogdanoff | Psychologist | 950 E Haverford Rd Ste 300, Bryn Mawr, PA 19010-3851 | 2007-10-09 |
| 1518169341 | Jennifer Shane Hitelman | Psychologist | 14 South Bryn Mawr Ave, Suite #205, Bryn Mawr, PA 19010 | 2007-06-04 |
| Find all providers in BRYN MAWR | ||||
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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.