KATHLEEN M OSTERTAG (NPI# 1053411223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411223 |
| Entity Type | Individual |
| Full Name | KATHLEEN M OSTERTAG |
| Credential | L.S.W. |
| Practice Address |
8001 Roosevelt Blvd 205-207 Philadelphia PA 19152-3038 |
| Mailing Address |
3808 Sharp St Philadelphia PA 19127-1816 |
| Practice Telephone | 2153321914 |
| Practice Fax Number | 2153321873 |
| Mailing Telephone | 2153321914 |
| Mailing Fax Number | 2153321873 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SW008549L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MAGELLAN ID | 0551435000 | 01 |
| PA | AETNA ID | 7694374 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558314708 | Kathleen Marie Ostertag | Counselor | 3186 Route 27, Suite 201, Kendall Park, NJ 08824-2232 | 2006-05-18 |
| Street Address |
8001 ROOSEVELT BLVD 205-207 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463073 | Christina L Chambley | Physician Assistant | 8001 Roosevelt Blvd, Suite 307, Philadelphia, PA 19152-3038 | 2005-08-09 |
| 1184090383 | Care Connection Counseling | Social Worker | 8001 Roosevelt Blvd, #301, Philadelphia, PA 19152-3038 | 2015-08-11 |
| 1134504822 | Marilyn Della Pia | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2015-07-23 |
| 1932599958 | Esther Shoshana Honeyman | Counselor | 8001 Roosevelt Blvd, Suite 205, Philadelphia, PA 19152-3038 | 2015-01-28 |
| 1912307976 | Janice Roberts | Counselor | 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152-3038 | 2014-08-27 |
| 1497169387 | Elizabeth Klotz | Counselor | 8001 Roosevelt Blvd, 301, Philadelphia, PA 19152-3038 | 2014-06-18 |
| 1134532757 | Anita Wilkerson | Social Worker | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2014-06-11 |
| 1427471168 | New Path Md Inc | Internal Medicine | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2014-01-31 |
| 1124464821 | Lauren Green | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2013-05-21 |
| 1265792311 | Dorothy Dolan | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on KATHLEEN M OSTERTAG.
| 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.