MARY K. DOHERTY (NPI# 1255479564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255479564 |
| Entity Type | Individual |
| Full Name | MARY K. DOHERTY |
| Practice Address |
8540 Verree Rd Philadelphia PA 19111-1325 |
| Practice Telephone | 2153427660 |
| Practice Fax Number | 2157013151 |
| Mailing Telephone | 2153427660 |
| Mailing Fax Number | 2157013151 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509203 | Mary Katherine Doherty | Counselor | 54 Plymouth Ave, Swampscott, MA 01907-1143 | 2018-08-27 |
| 1295116796 | Mary Doherty | Counselor | 28922 Lorain Rd Ste 100, North Olmsted, OH 44070-4053 | 2015-06-11 |
| 1700149291 | Mary Doherty | Early Intervention Provider Agency | 68 Fitchburg St, Bay Shore, NY 11706-4638 | 2012-06-19 |
| 1720371842 | Mary Debra Doherty | Developmental Therapist | 4456 N Sawyer Ave, Chicago, IL 60625-4513 | 2011-05-23 |
| 1265708390 | Mary Caitlin Doherty | Counselor | 609 N Shore Dr, Bellingham, WA 98226-4414 | 2012-03-22 |
| 1043507619 | Mary M Doherty | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2011-07-05 |
| 1427367606 | Mary Teresa Doherty | Acupuncturist | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2010-10-05 |
| 1871801233 | Mary Dolores Doherty | Nurse Practitioner | 243 Charles Street, Anesthesia Department, Boston, MA 02114 | 2010-09-20 |
| 1013070077 | Mary Ellen Doherty | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2006-12-19 |
| 1578540589 | Mary E. Doherty | Nurse Practitioner | 1221 Main St, South Weymouth, MA 02190-1561 | 2005-12-30 |
| Street Address |
8540 VERREE RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982752408 | Cora Services, Inc. | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2007-01-08 |
| 1598303679 | Jessica Vinti | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2019-12-19 |
| 1821656638 | Katie Colleen Cardone | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1399 | 2019-06-05 |
| 1740747591 | Kara Devoe | Marriage & Family Therapist | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2019-02-28 |
| 1033623954 | Marissa Marschall | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2017-11-30 |
| 1558732875 | Camille Stoudt | Social Worker | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2015-10-13 |
| 1093137960 | Stacey Vinci | Marriage & Family Therapist | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2014-01-13 |
| 1780018721 | Danielle Cole | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2013-08-27 |
| 1043512627 | Melissa Reich | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2010-12-02 |
| 1255633988 | Lauren Dopera | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2010-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1275170763 | Erika Anaya Kellogg | Counselor | 3535 Market St Dept Of, Philadelphia, PA 19104-3309 | 2019-12-04 |
| 1568008480 | Heather Mcgee | Counselor | 3343 Bowman St, Philadelphia, PA 19129-1538 | 2019-11-26 |
| 1104468222 | Johann Ochoa | Counselor | 3900 Woodland Ave Bldg 3, Philadelphia, PA 19104-4551 | 2019-10-09 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1447805114 | Sobriety Now LLC. | Counselor | 100 S Broad St Ste 2230, Philadelphia, PA 19110-1021 | 2019-08-08 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1215400106 | David Francis Ross Sr. | Counselor | 622 W Chew Ave Ste 2, Philadelphia, PA 19120-2211 | 2019-01-03 |
| 1124502604 | Saida Heywood | Counselor | 1306 Catharine St, Philadelphia, PA 19147-2628 | 2018-09-20 |
| 1437649415 | Ashley Przywitowski | Counselor | 9815 Roosevelt Blvd Ste B, Philadelphia, PA 19114-1035 | 2018-05-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on MARY K. DOHERTY.
| 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.