NORTHSHORE PSYCHOLOGICAL ASSOCIATES LLC (NPI# 1114350188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114350188 |
Entity Type | Organization |
Organization Name | NORTHSHORE PSYCHOLOGICAL ASSOCIATES LLC |
Practice Address |
120 E 2nd St Erie PA 16507-1537 |
Practice Telephone | 8144528213 |
Mailing Telephone | 8144528213 |
Enumeration Date | 2013-08-14 |
Last Update Date | 2013-08-14 |
Authorized Official Name | DR. MARK HOGUE (CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 8144528213 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
120 E 2ND ST |
City | ERIE |
State | PA |
Zip Code | 16507-1537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518961564 | Paul Demjanenko | Internal Medicine | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
1114491958 | Brian David Blair | Nurse Practitioner | 120 E 2nd St, Erie, PA 16507-1537 | 2019-01-15 |
1992248934 | Brande Dietrich-mclean | Nurse Practitioner | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2016-11-23 |
1649722117 | Valerie A Tharp | Physician Assistant | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2016-10-31 |
1053861856 | Susan Troutner | Psychologist | 120 E 2nd St, Third Floor, Erie, PA 16507-1537 | 2016-10-05 |
1487104220 | Christa M Norman | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2016-10-05 |
1255889481 | Cynthia Ann Chuzie-mcdowell | Nurse Practitioner | 120 E 2nd St, Suite #401, Erie, PA 16507-1537 | 2016-09-16 |
1104290915 | Mary Jill Vaillancourt | Registered Nurse | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2015-11-17 |
1841670155 | Alyssa Drushel | Physician Assistant | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1537 | 2015-06-02 |
1558768846 | Abigail Lee Trapp | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2014-12-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
Find all providers in zip 16507 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747593 | White Pine Center for Healing | Counselor | 1116 W 7th St, Erie, PA 16502-1104 | 2020-07-22 |
1326603481 | William Mark Powell | Counselor | 1584 Westin Dr, Erie, CO 80516-7247 | 2019-05-04 |
1447766365 | Kimberley Ann Coughlin | Counselor | 1611 Peach St Ste 185, Erie, PA 16501-2125 | 2017-12-15 |
1265950513 | All About You Counseling | Counselor | 1131 W 38th St, Erie, PA 16508-2457 | 2017-09-07 |
1245756949 | Ashley Fedor,lpc, LLC | Counselor | 1946 W 26th St Ste 19b, Erie, PA 16508-1165 | 2017-08-15 |
1497203848 | Mindy Ghaemaghamy-harris | Counselor | 2221b Peninsula Dr, Erie, PA 16506-2954 | 2016-09-14 |
1427423169 | Brianne Slaney | Counselor | 17 Merline Ave Ste 3, Erie, PA 16509-1567 | 2015-12-07 |
1457742736 | Christine Ngozika Crowell | Counselor | 3530 Peach St Ste 120, Erie, PA 16508-2768 | 2015-02-09 |
1295145795 | Mark A Borland | Counselor | 1738 W 8th St, Erie, PA 16505-5024 | 2014-05-06 |
1093133399 | Chelsea Curlett | Counselor | 1705 W 26th St, Erie, PA 16508-1233 | 2014-04-03 |
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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.