PAUL MAZEROFF (NPI# 1154413144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154413144 |
| Entity Type | Individual |
| Full Name | PAUL MAZEROFF |
| Credential | ED.D |
| Practice Address |
625 W. Elm Avenue Hanover PA 17331 |
| Practice Telephone | 7176324900 |
| Practice Fax Number | 7176324313 |
| Mailing Telephone | 7176324900 |
| Mailing Fax Number | 7176324313 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS008389L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007446410021 | 05 |
| Street Address |
625 W. ELM AVENUE |
| City | HANOVER |
| State | PA |
| Zip Code | 17331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679664072 | Betty C Derr | Psychologist | 625 W. Elm Avenue, Hanover, PA 17331 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679664072 | Betty C Derr | Psychologist | 625 W. Elm Avenue, Hanover, PA 17331 | 2006-09-28 |
| 1699372946 | Karyn Gunnet-shoval | Psychologist | 23 S Main St, Hanover, NH 03755-2075 | 2020-10-08 |
| 1871700138 | Heather Ann Earle | Psychologist | 6 E South St, Hanover, NH 03755-2148 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368260 | Marilia Marien | Psychologist | 713 Buck Ln, Haverford, PA 19041-1201 | 2020-08-31 |
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1891308706 | Yuhong He | Psychologist | 34 Overlook Cir, Garnet Valley, PA 19060-2248 | 2020-08-28 |
| 1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
| 1891315750 | Anne Patricia Myers | Psychologist | 605 W Street Rd, Warminster, PA 18974-3214 | 2020-04-21 |
| 1326673120 | Life Line Community Ministries LLC | Psychologist | 9398 Birch Ln, Tobyhanna, PA 18466-3846 | 2020-03-12 |
| 1669005203 | North Shore Counseling Services | Psychologist | 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 | 2020-02-21 |
| 1184274946 | St. Luke's Hospital | Psychologist | 512 Bank Street, Bowmanstown, PA 18030 | 2019-09-13 |
| 1780241661 | Gregory Tucker | Psychologist | 780 E Market St Ste 220&230, West Chester, PA 19382-4882 | 2019-05-25 |
| 1023674199 | Kara Mcquaid | Psychologist | 555 Second Ave Ste B-300, Collegeville, PA 19426-3636 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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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.