THE BEHAVIORAL HEALTH AND WELLNESS ACADEMY (NPI# 1992219588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992219588 |
| Entity Type | Organization |
| Organization Name | THE BEHAVIORAL HEALTH AND WELLNESS ACADEMY |
| Practice Address |
513 W Chocolate Ave Ste 100 Hershey PA 17033 |
| Mailing Address |
513 W Chocolate Ave Ste 100 Hershey PA 17033-1632 |
| Practice Telephone | 7178101974 |
| Practice Fax Number | 7177048476 |
| Mailing Telephone | 7178101974 |
| Mailing Fax Number | 7177048476 |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | DR. MCKENZIE WALKER (OWNER/CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 7178101974 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS017030 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103493320 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1349 Cumberland St, Lebanon, PA 170424529 | 7172696642 | |
| 48 N Queen St Fl 2, Lancaster, PA 176033816 | 7178101974 | 7177048476 |
| 513 W Chocolate Ave Ste 100, Hershey, PA 17033 | 7178101974 | 7177048476 |
| 701 Cumberland St, Lebanon, PA 170425231 | 7178101974 | 7177048476 |
| 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 |
| 1871080358 | Ademola Fawole | Psychologist | 513 W Chocolate Ave Ste 100, Hershey, PA 17033 | 2018-04-19 |
| 1922503200 | Nicole E Matero | Social Worker | 513 W Chocolate Ave Ste 100, Hershey, PA 17033-1632 | 2018-03-28 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225496664 | Susan Elizabeth Moses | Psychologist | 1415 E Chocolate Ave, Hershey, PA 17033-1165 | 2016-01-30 |
| 1164848404 | Kimberly Carlson | Psychologist | 321 Ridge Rd, Hershey, PA 17033-1553 | 2014-03-11 |
| 1518254705 | Clint Chester Stankiewicz | Psychologist | 1512 E Caracas Ave Ste 300, Hershey, PA 17033 | 2011-07-07 |
| 1477872000 | Julie Pelletier | Psychologist | 905 W. Governor Road, Suite 200, Hershey, PA 17033-2307 | 2010-05-21 |
| 1487601563 | Saundra Lee Schoicket | Psychologist | 561 W Chocolate Ave, Hershey, PA 17033-1676 | 2006-05-27 |
| 1417484833 | Dahlia Mukherjee | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-16 |
| 1881135986 | Megan Amatrudo | Psychologist | 513 W Chocolate Ave Ste 100, Hershey, PA 17033-1632 | 2017-03-09 |
| 1033667548 | Elizabeth S Miceli | Psychologist | 905 W Governor Rd Ste 200, Hershey, PA 17033-2310 | 2016-09-13 |
| 1891089728 | Kimberly M Kimchi Phd | Psychologist | 405 E Chocolate Ave, Hershey, PA 17033-1331 | 2011-06-08 |
| 1235422650 | Amanda M Pearl | Psychologist | 500 University Dr, Hershey, PA 17033-2360 | 2011-05-18 |
| Find all providers in HERSHEY | ||||
Please comment or provide details below to improve the information on THE BEHAVIORAL HEALTH AND WELLNESS ACADEMY.
| 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.