CHE SENIOR CARE THERAPY SERVICES PC (NPI# 1144666496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144666496 |
| Entity Type | Organization |
| Organization Name | CHE SENIOR CARE THERAPY SERVICES PC |
| Practice Address |
928 Jaymor Rd Ste C-120 Southampton PA 18966-3835 |
| Mailing Address |
Po Box 68047 Newark NJ 07101-8085 |
| Practice Telephone | 7189426595 |
| Practice Fax Number | 8556886746 |
| Mailing Telephone | 7189426595 |
| Mailing Fax Number | 8556886746 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | CHRISTOPHER R DENNIS (OWNER) |
| Authorized Official Telephone | 7189426595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS005042L | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 627 Revere Rd, Merion Station, PA 190661007 | 4847547275 | 4847547274 |
| Street Address |
928 JAYMOR RD STE C-120 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063814283 | Megan Dufford | Psychologist | 928 Jaymor Rd Ste C-120, Southampton, PA 18966-3835 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621762 | Tina Marie Gonzales | Psychologist | 928 Jaymor Road Suite B-150, Southampton, PA 19040 | 2018-09-01 |
| 1174780258 | Joseph G. Rosenfeld | Psychologist | 43 Springwood Dr, Southampton, PA 18966-3054 | 2008-05-17 |
| 1740318039 | Elene Jessica Costuck | Psychologist | 168 Hill St, Southampton, NY 11968-5310 | 2007-03-01 |
| 1841339397 | Kathleen M. Dillon | Psychologist | 139 Fomer Rd, Southampton, MA 01073-9516 | 2007-02-05 |
| 1013926583 | Southampton Psychiatric Associates PC | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-05 |
| 1811924038 | Fred Larry Dorfman | Psychologist | 707 Lakeside Park, Southampton, PA 18966-4020 | 2006-06-26 |
| 1275531634 | Steven R. Cohen | Psychologist | 967 Street Rd, Southampton, PA 18966-4728 | 2005-07-11 |
| 1285157172 | Jennifer Rebekah Nowak | Psychologist | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2017-07-21 |
| 1104287564 | Lifespan Counseling Center LLC | Psychologist | 729 Grove Ave, Suite 3, Southampton, PA 18966-6008 | 2016-03-14 |
| 1417314758 | Deborah Meyrowitz Weiss LLC | Psychologist | 1111 Street Rd, Suite 101, Southampton, PA 18966-4250 | 2016-01-18 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on CHE SENIOR CARE THERAPY SERVICES PC.
| 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.