DR. JENNIFER BRESLIN (NPI# 1093241853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093241853 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER BRESLIN |
| Credential | PSY.D. |
| Practice Address |
100 W Sixth St Suite 305 Media PA 19063-2428 |
| Practice Telephone | 4844454147 |
| Practice Fax Number | 4844454149 |
| Mailing Telephone | 4844454147 |
| Mailing Fax Number | 4844454149 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS018280 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265771018 | Jennifer Heckman Breslin | Psychologist | 502 N Silverbell Rd, Tucson, AZ 85745-2626 | 2013-02-13 |
| Street Address |
100 W SIXTH ST SUITE 305 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588627863 | Ira T Kedson | Psychologist | 100 W Sixth St, Ground Floor (cys), Media, PA 19063-2428 | 2006-04-08 |
| 1780135160 | Gina Bell | Social Worker | 100 W Sixth St, Suite 305, Media, PA 19063-2428 | 2016-10-20 |
| 1881040160 | Kateryna Dukenski, LLC | Public Health or Welfare | 100 W Sixth St, Suite 303, Media, PA 19063-2428 | 2016-05-05 |
| 1023489150 | Kimberly Alcorn Castner | Psychologist | 100 W Sixth St, Suite 305, Media, PA 19063-2428 | 2015-10-15 |
| 1033516786 | Kathleen Smith | Social Worker | 100 W Sixth St, Suite 305, Media, PA 19063-2428 | 2014-11-24 |
| 1306106471 | Marc Alexander Gramatges | Clinical Neuropsychologist | 100 W Sixth St, Suite 305, Media, PA 19063-2428 | 2012-05-23 |
| 1639113772 | Barbara Grajcar Crowe | Chiropractor | 100 W Sixth St, Ste 105, Media, PA 19063-2428 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1215382395 | Nicole Sestito, Ph.d. | Clinical Neuropsychologist | 13 W Third St, Media, PA 19063-2803 | 2016-04-26 |
| 1487082111 | Joanna Pascal | Clinical Neuropsychologist | 1088 West Baltimore Pike Hcc II, Ste 2205, Center for Neuroscience, Riddle Hospital, Media, PA 19063 | 2013-10-15 |
| 1053955054 | Kristen Herzel | Clinical Neuropsychologist | 13 W Third St, Media, PA 19063-2803 | 2019-11-01 |
| 1447602982 | Gregory Alan Seidel | Clinical Neuropsychologist | 1098 W Baltimore Pike, Suite 2205, Media, PA 19063-5139 | 2016-07-08 |
| 1306106471 | Marc Alexander Gramatges | Clinical Neuropsychologist | 100 W Sixth St, Suite 305, Media, PA 19063-2428 | 2012-05-23 |
| 1548414139 | Emily Kranzley Killar | Clinical Neuropsychologist | 280 N Providence Rd, Suite 6, Media, PA 19063-3527 | 2008-11-09 |
| 1841377892 | George E Ledakis | Clinical Neuropsychologist | 1088 W Baltimore Pike, Suite 2205, Media, PA 19063-5146 | 2006-11-01 |
| 1104870146 | David A Thomas | Clinical Neuropsychologist | 1088 W Baltimore Pike, Hcii Suite 2205, Media, PA 19063-5146 | 2006-05-22 |
| 1528032075 | William H Curtis | Clinical Neuropsychologist | 1033 N Providence Rd, Media, PA 19063-2220 | 2006-02-13 |
| Find all providers in MEDIA | ||||
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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.