MR. JEFFREY J KLUNK (NPI# 1255382305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255382305 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY J KLUNK |
| Credential | MS |
| Practice Address |
306 N 7th St Columbia PA 17512-2137 |
| Practice Telephone | 7175603782 |
| Practice Fax Number | 7175603787 |
| Mailing Telephone | 7175603782 |
| Mailing Fax Number | 7175603787 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS004321L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 50000097 | 01 |
| PA | VALUE OPTIONS | 188819 | 01 |
| Street Address |
306 N 7TH ST |
| City | COLUMBIA |
| State | PA |
| Zip Code | 17512-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760455638 | Jennifer Brighter | Family Medicine | 306 N 7th St, Columbia, PA 17512-2137 | 2006-02-09 |
| 1083155410 | Crystal Derose | Counselor | 306 N 7th St, Columbia, PA 17512-2137 | 2017-03-18 |
| 1003358474 | Laura Lash | Physician Assistant | 306 N 7th St, Columbia, PA 17512-2137 | 2016-11-16 |
| 1962805010 | Stacey L Burroughs | Counselor | 306 N 7th St, Columbia, PA 17512-2137 | 2014-10-03 |
| 1083026702 | Thomas C Coyne | Family Medicine | 306 N 7th St, Columbia, PA 17512-2137 | 2014-05-29 |
| 1871922179 | Sherrie-an Gerhart | Social Worker | 306 N 7th St, Columbia, PA 17512-2137 | 2013-11-06 |
| 1225370299 | Karen M. Bramley | Social Worker | 306 N 7th St, Columbia, PA 17512-2137 | 2013-03-18 |
| 1710228713 | Caroline M. Barnhart | Social Worker | 306 N 7th St, Columbia, PA 17512-2137 | 2013-03-15 |
| 1528304284 | Margaret M Krumm | Physician Assistant | 306 N 7th St, Columbia, PA 17512-2137 | 2012-12-27 |
| 1447517776 | Tracy Ann Kellenberger | Physician Assistant | 306 N 7th St, Columbia, PA 17512-2137 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912405515 | Alyssa Carter | Counselor | 610 Poplar Street, Columbia, PA 17512 | 2018-01-29 |
| 1598943276 | Tw Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 200 North Fifth Street, Columbia, PA 17512 | 2008-02-05 |
| 1821275140 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 50 South Sixth Street, Columbia, PA 17512 | 2008-01-29 |
| 1447431382 | David H Landis | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2007-11-20 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1790791580 | Blake Keith Staker | Chiropractor | 46 South 18th Street, Columbia, PA 17512 | 2006-07-31 |
| 1942266630 | William Brian Kraft | Chiropractor | 501 S 9th St, Columbia, PA 17512 | 2006-04-22 |
| 1063954501 | Kelsey Czekai | Family Medicine | 369 Locust Street, First Floor, Columbia, PA 17512 | 2016-11-15 |
| 1982009981 | 4urx | Pharmacy | 960 Lancaster Ave, Ste 2 Rear, Columbia, PA 17512 | 2014-11-03 |
| 1194994830 | Landis Family Chiropractic | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2008-02-27 |
| Find all providers in zip 17512 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1285192120 | Doris Paez | Psychologist | 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 | 2019-03-11 |
| 1801354188 | Better Self Counseling LLC | Psychologist | 8640 Guilford Rd Ste 220, Columbia, MD 21046-2671 | 2019-03-06 |
| 1942767538 | Jennifer Nicole Merrifield | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2019-03-01 |
| 1346711439 | Natalie Gwin | Psychologist | 10630 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-3264 | 2018-12-16 |
| Find all providers in COLUMBIA | ||||
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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.