DR. MICHELE MATTIE (NPI# 1285665075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285665075 |
| Entity Type | Individual |
| Full Name | DR. MICHELE MATTIE |
| Credential | PHD |
| Practice Address |
517 Pierce St Suite B Kingston PA 18704-5731 |
| Practice Telephone | 5707181150 |
| Practice Fax Number | 5707141321 |
| Mailing Telephone | 5707181150 |
| Mailing Fax Number | 5707141321 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS008609L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CIGNA | 2057094 | 01 |
| PA | BC/BS | 359151 | 01 |
| Street Address |
517 PIERCE ST SUITE B |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921572 | Lori Ann Alesson Rn | Social Worker | 517 Pierce St, Suite B, Kingston, PA 18704-5731 | 2005-09-01 |
| 1184225948 | Farook K Shroff Md | Internal Medicine | 517 Pierce St, Kingston, PA 18704-5756 | 2020-11-06 |
| 1710487764 | Sanjeev Garg LLC | Psychiatry & Neurology | 517 Pierce St, Kingston, PA 18704-5756 | 2018-02-16 |
| 1396043964 | Frank A Berman, Dds, PC | Durable Medical Equipment & Medical Supplies | 517 Pierce St, Kingston, PA 18704-5756 | 2011-03-07 |
| 1164543112 | Jeanne A Rinehouse Md P C | Psychiatry & Neurology | 517 Pierce St, Kingston, PA 18704-5731 | 2007-04-03 |
| 1851474431 | Vascular Access Center of Kingston LLC | Internal Medicine | 517 Pierce St, Kingston, PA 18704-5731 | 2006-10-24 |
| 1477655314 | Michele Mattie, Phd, LLC | Psychologist | 517 Pierce St, Suite B, Kingston, PA 18704-5731 | 2006-09-01 |
| 1568494813 | Frank A Berman | Dentist | 517 Pierce St, Pierce Plaza Suite 5, Kingston, PA 18704-5731 | 2006-07-07 |
| 1790728574 | Sanjeev Garg | Psychiatry & Neurology | 517 Pierce St, Kingston, PA 18704-5756 | 2006-06-13 |
| 1265406326 | Jeanne Ann Rinehouse | Psychiatry & Neurology | 517 Pierce St, Suite B, Kingston, PA 18704-5731 | 2006-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003039165 | David Milton Weinberger | Psychologist | 212 Pierce St, Suite B, Kingston, PA 18704-4641 | 2007-04-10 |
| 1558488221 | Mark Hammel | Psychologist | 275 Fair St Ste 16, Kingston, NY 12401-3882 | 2007-03-26 |
| 1063546059 | Michael David Schwalberg | Psychologist | 159 Green St., Suite 1, Kingston, NY 12401-3737 | 2007-03-14 |
| 1780721605 | Marguerite A Mosack | Psychologist | 239 Schuyler Avenue, Suite 350, Kingston, PA 18704-3333 | 2007-01-31 |
| 1508918186 | Ann M Varna Garis | Psychologist | 150 Chafee Building, Kingston, RI 02881 | 2007-01-17 |
| 1255489506 | Peter Elwood Maynard | Psychologist | 347 Biscuit City Rd, Kingston, RI 02881-1604 | 2007-01-05 |
| 1700943057 | George Thornton Fitzelle | Psychologist | 13 Linden Drive, Kingston, RI 02881 | 2007-01-03 |
| 1558442152 | Russell M Bragg Jr. | Psychologist | 9840 Kingston Farm Rd Ne, Kingston, WA 98346-8621 | 2006-10-18 |
| 1457447427 | Albert D Jumper | Psychologist | 23 W Walnut St, Kingston, PA 18704-3800 | 2006-10-05 |
| 1790894749 | Susquehanna Counseling Group, Inc. | Psychologist | 400 Third Ave., Park Office Bldg. Suite 212, Kingston, PA 18704 | 2006-08-30 |
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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.