MR. KENDRICK PEER MUGNIER


Address: 4641 Roosevelt Blvd, Philadelphia, PA 19124
Phone: 2158314600

MR. KENDRICK PEER MUGNIER (NPI# 1063718195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063718195
Entity Type Individual
Full Name MR. KENDRICK PEER MUGNIER
Credential L.P.C.
Practice Address 4641 Roosevelt Blvd
Philadelphia
PA 19124
Practice Telephone 2158314600
Mailing Telephone 2158314600
Enumeration Date 2011-02-08
Last Update Date 2012-09-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC006003 PA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
0701004999 VA Behavioral Health & Social Service Providers

Office Location

Street Address 4641 ROOSEVELT BLVD
City PHILADELPHIA
State PA
Zip Code 19124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710972161 Katherine B. Frantz Psychiatry & Neurology 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2005-09-13
1770109407 Amy Fisher Social Worker 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2020-06-18
1518583426 Holly Albaugh Social Worker 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2020-06-17
1700401809 Brittany Arnao Social Worker 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 2020-06-15
1255963047 Kathleen Cuffy Registered Nurse 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2020-02-10
1922641620 Tower Drexel Academic Medical Group LLC Psychiatry & Neurology 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2019-10-25
1871153809 Roya Bina Psychiatry & Neurology 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2019-06-20
1427522937 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2019-01-17
1609355387 Samantha Diane Coppola Counselor 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2018-08-13
1841785136 Lauren Newman Social Worker 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 2018-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831749308 William Mark Hanna Sr. Pharmacist 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 2019-09-17
1881256451 Medical Discovery Systems, LLC Durable Medical Equipment & Medical Supplies 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 2019-07-03
1548731391 Sierra Pinkney Registered Nurse 1615 Granite St, Philadelphia, PA 19124 2018-12-05
1922507987 Xavier Sergio Henriquez Counselor 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 2018-02-06
1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1952843732 Patrick Grugan Social Worker Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 2016-11-10
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1851769327 Aleka Kostouros Social Worker Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 2015-09-14
1407230378 Sara Bachani Psychiatry & Neurology 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 2015-07-10
1215327051 Alyssa Renee Kirk Counselor 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 2015-02-02
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1013516806 Being, LLC Counselor 1736 Kendrick St, Philadelphia, PA 19152-1816 2020-10-22
1821605809 Jessica Briddell-hasben Counselor 829 Grakyn Ln, Philadelphia, PA 19128-2005 2020-09-24
1538776653 Eric Brown Counselor 8227 Thouron Ave, Philadelphia, PA 19150-2018 2020-09-24
1740896661 Keya Middleton Counselor 2030 N 56th St, Philadelphia, PA 19131-3132 2020-09-16
1679189641 Teen Support Center, LLC Counselor 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 2020-09-16
1982219879 Dathan Landon-freeman Counselor 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 2020-09-09
1700490422 Outside The Box Strategies, LLC Counselor 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 2020-09-01
1346853355 Lauren Dattilo Counselor 10175 Bustleton Ave, Philadelphia, PA 19116-3718 2020-08-28
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Competitor

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City PHILADELPHIA
Zip Code 19124

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Dataset Information

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.

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