DODY STAR SIEGFRIED (NPI# 1033545611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033545611 |
Entity Type | Individual |
Full Name | DODY STAR SIEGFRIED |
Other Name | DODY STAR FREED |
Credential | MAPC |
Practice Address |
51 Market St Bangor PA 18013-1901 |
Mailing Address |
2650 Northwood Ave. Easton PENNSYLVANIA 18045 UM |
Practice Telephone | 6105889109 |
Mailing Telephone | 6102500752 |
Enumeration Date | 2013-09-16 |
Last Update Date | 2013-09-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
Street Address |
51 MARKET ST |
City | BANGOR |
State | PA |
Zip Code | 18013-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457386328 | Methodist Services | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2006-07-11 |
1467090951 | Ruthanne Taggart | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2019-12-15 |
1033615240 | Kimberly Niyogi | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2018-04-05 |
1912387200 | Wendy Watkins | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2015-06-02 |
1285064279 | Jayson Leeman | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-11-12 |
1831528066 | Eric Black | Social Worker | 51 Market St, Bangor, PA 18013-1901 | 2013-11-07 |
1396088662 | Andrea Jean Miles | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-04-04 |
1033457221 | Lisa Michele Willson | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-01-22 |
1932457447 | Alexander Szoke-benton | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2012-08-15 |
1396013926 | Dale A English | Counselor | 51 Market St, Community Couseling, Bangor, PA 18013-1901 | 2011-12-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
1588064554 | Roxanne Decesare | Reflexologist | 429 South First St, Bangor, PA 18013 | 2014-08-27 |
1467781708 | Shadys Rest | Preferred Provider Organization | 1004 W Juniata Street, Allentown, PA 18013 | 2009-12-16 |
1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
1104373265 | Heavenly Vision | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2016-09-07 |
1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
1629492608 | Elizabeth Kostura | Counselor | 51 Market Street, Bangor, PA 18013 | 2014-02-11 |
1518261593 | Carol Augusta Olzinski | Social Worker | 51 Market Street, Bangor, PA 18013 | 2011-01-05 |
1073846390 | Christa Robinson | Specialist/Technologist | 19 Columbus St, Apt 3, Roseto, PA 18013 | 2009-09-18 |
1326096587 | Matthew Nicholas Sabatine Jr. | Dentist | 137 Broadway, Bangor, PA 18013 | 2006-05-04 |
Find all providers in zip 18013 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265625586 | Carol Jones Sherman | Counselor | 6 State St, Bangor, ME 04401-5112 | 2007-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417582081 | Ted Cibik | Counselor | 825 Lovers Leap Rd, Leechburg, PA 15656-8836 | 2020-03-04 |
1356980445 | Peaceful Heart Counseling | Counselor | 1068 Bedford St, Johnstown, PA 15902-3807 | 2020-01-06 |
1720627805 | Brad Griesheimer | Counselor | 1086 Bedford St, Johnstown, PA 15902 | 2020-01-06 |
1669025029 | Debbie Littles | Counselor | 1410 North 31st Street, Chester, PA 19121-3870 | 2019-07-24 |
1043876840 | Jose Angel Tavares Jr. | Counselor | 39 N 13th St, Allentown, PA 18102-4339 | 2019-05-16 |
1609335637 | Barry Mcclay | Counselor | 110 Old York Rd, Dillsburg, PA 17019-9350 | 2019-03-19 |
1891253472 | Merytony Pierre Jean | Counselor | 2841 Knorr St, Philadelphia, PA 19149-2518 | 2019-03-03 |
1154898831 | Thomas Howell Iv | Counselor | 5655 Bryant St Ste 203, Pittsburgh, PA 15206-1511 | 2018-10-31 |
1235632944 | Sarah Miller | Counselor | 38 W Laurel St, Bethlehem, PA 18018-2739 | 2018-03-09 |
1841702446 | William C Luff | Counselor | 878 N 26th St, Philadelphia, PA 19130-1821 | 2017-11-04 |
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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.