DR. MATTHEW RYAN SHUPP (NPI# 1063063634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063063634 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RYAN SHUPP |
| Credential | ED.D., NCC, LPC |
| Practice Address |
28 S Pitt St Carlisle PA 17013-3211 |
| Mailing Address |
1871 Old Main Dr Shippensburg PA 17257-2200 |
| Practice Telephone | 7174483483 |
| Mailing Telephone | 7174771676 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC011273 | PA | Behavioral Health & Social Service Providers |
| Street Address |
28 S PITT ST |
| City | CARLISLE |
| State | PA |
| Zip Code | 17013-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477705903 | Valerie Ann Domenici | Psychologist | 28 S Pitt St, Carlisle, PA 17013-3211 | 2008-10-15 |
| 1134739360 | Donald Joseph Domenici | Psychologist | 28 S Pitt St, Carlisle, PA 17013-3211 | 2020-08-03 |
| 1396107942 | Judy L Prescott LLC | Community/Behavioral Health | 28 S Pitt St, Carlisle, PA 17013-3211 | 2016-03-23 |
| 1679914097 | Diana Mercedes Robinson Dankosky | Occupational Therapist | 28 S Pitt St, Carlisle, PA 17013-3211 | 2013-07-14 |
| 1407293848 | Kmcounseling, LLC | Counselor | 28 S Pitt St, Carlisle, PA 17013-3211 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1922578400 | Nicole Gift | Physical Therapy Assistant | Claremont Nursing and Rehab Center, 1000 Claremont Road, Carlisle, PA 17013 | 2018-11-28 |
| 1841713542 | Christine Brehm-stroman | Dental Hygienist | 197 Acre Dr, Carlisle, PA 17013 | 2017-07-25 |
| 1316317050 | Delyara Mamedova | Social Worker | 800 Belvedere Street, Carlisle, PA 17013 | 2015-10-06 |
| 1033596200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 841 Sumner Road, Bldg. 844, Carlisle Barracks, PA 17013 | 2015-04-27 |
| 1881010809 | Rachel Albright | Social Worker | 401 East Louther St, Suite 219, Carlisle, PA 17013 | 2014-03-14 |
| 1386071363 | Leslie Gail Carr | Registered Nurse | 100 N. Hanover St., Sadler Health Center - Nurse - Family Partnership, Carlisle, PA 17013 | 2013-10-04 |
| 1447518022 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Building 844 Main Exchange, Carlisle Barracks, PA 17013 | 2012-05-02 |
| 1407114309 | Elizabeth Robinson | Pharmacist | 302 York Road, Carlisle, PA 17013 | 2012-04-27 |
| 1639435530 | Bruce Kugler Storms | Social Worker | 406 E. Old York Road, Carlisle, PA 17013 | 2012-04-04 |
| Find all providers in zip 17013 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935761 | Rc Counseling LLC | Counselor | 401 E Louther St Ste 208, Carlisle, PA 17013-2646 | 2019-11-04 |
| 1780246405 | Adam Oldham | Counselor | 124 Bellows Dr, Carlisle, PA 17015-8951 | 2019-07-02 |
| 1346803822 | Jennifer M Deitz | Counselor | 26 State Ave Ste 101, Carlisle, PA 17013-4457 | 2019-04-19 |
| 1891213088 | Beech Street Therapy Center, LLC | Counselor | 20 Beech St Ste A, Carlisle, PA 17013-3105 | 2017-09-07 |
| 1164843249 | Christine Ramond | Counselor | 1918 Esther Dr, Carlisle, PA 17013-1029 | 2013-12-17 |
| 1164764866 | Robert C. Weaver | Counselor | 172 E High St, Carlisle, PA 17013-3017 | 2013-03-20 |
| 1730445693 | Patricia T Hanley | Counselor | 512 Forbes Ave, Carlisle, PA 17013-5112 | 2012-04-05 |
| 1497025456 | O'connell & Farner Counseling Associates, LLC | Counselor | 2260 Spring Rd, Suite 2, Carlisle, PA 17013-8761 | 2012-01-09 |
| 1487968673 | Lori R. Gallagher | Counselor | 1710 Ritner Hwy Ste 5, Carlisle, PA 17013-9301 | 2010-07-30 |
| 1225272669 | Cynthia Gail Sniscak | Counselor | 20a Beech St, Carlisle, PA 17013-3105 | 2009-04-29 |
| Find all providers in CARLISLE | ||||
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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.