BREEZEWOOD BEHAVIORAL HEALTH SERVICES, INC (NPI# 1013180918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013180918 |
| Entity Type | Organization |
| Organization Name | BREEZEWOOD BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
90 Beaver Dr Ste 117d Du Bois PA 15801-2440 |
| Practice Telephone | 8143711340 |
| Practice Fax Number | 8143711864 |
| Mailing Telephone | 8143711340 |
| Mailing Fax Number | 8143711864 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | ALBERT J DIGILARMO II (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Telephone | 8143711340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS-007769-L | PA | Behavioral Health & Social Service Providers |
| Street Address |
90 BEAVER DR STE 117D |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710968995 | Jeffrey W Rice | Dentist | 90 Beaver Dr, Suite 101a, Du Bois, PA 15801-2440 | 2005-11-07 |
| 1609326362 | Brian M Elias Dpm PC | Non-Pharmacy Dispensing Site | 90 Beaver Dr, Building E, Du Bois, PA 15801-2440 | 2016-10-06 |
| 1740665652 | Dubois Regional Medical Center - Penn Highlands Dermatology | Dermatology | 90 Beaver Dr, Suite 122d, Du Bois, PA 15801-2440 | 2015-07-22 |
| 1063801397 | Pa Oral Facial & Implant Surgery | Dentist | 90 Beaver Dr, Suite 101a, Du Bois, PA 15801-2440 | 2015-01-09 |
| 1861763039 | Podiatry Associates of Dubois LLC | Podiatrist | 90 Beaver Dr, Building D, Du Bois, PA 15801-2440 | 2012-01-20 |
| 1710257795 | Moshannon Valley Psychiatric Services, PC | Nurse Practitioner | 90 Beaver Dr, Suite 210d, Du Bois, PA 15801-2440 | 2012-01-06 |
| 1821390717 | Jeffrey Ryan Rice | Surgery | 90 Beaver Dr, Suite 215 D, Du Bois, PA 15801-2440 | 2010-11-26 |
| 1437387628 | John Joseph Mocik | Social Worker | 90 Beaver Dr, Suite 117d, Du Bois, PA 15801-2440 | 2009-06-25 |
| 1033354550 | My Care Now, LLC | Family Medicine | 90 Beaver Dr, Building C, Du Bois, PA 15801-2440 | 2008-12-12 |
| 1821209438 | Lisa A. Ferrill | Advanced Practice Midwife | 90 Beaver Dr, Ste 211d, Du Bois, PA 15801-2449 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
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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.