DR. SARA J. CORNELL


Address: 149 Village Park Dr, Pocono Lake, PA 18347-7964
Phone: 5706430222

DR. SARA J. CORNELL (NPI# 1285851576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285851576
Entity Type Individual
Full Name DR. SARA J. CORNELL
Credential PSY.D.
Practice Address 149 Village Park Dr
Pocono Lake
PA 18347-7964
Mailing Address Po Box 604
Blakeslee
PA 18610-0604
Practice Telephone 5706430222
Practice Fax Number 5706430224
Mailing Telephone 5706430222
Mailing Fax Number 5706430224
Enumeration Date 2007-04-19
Last Update Date 2015-05-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS016217 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 101894788 05

Other Providers SARA CORNELL

NPI Name Taxonomy Address Enumeration
1215140470 Sara Cornell Social Worker 213 Sheldon Blvd Se, Grand Rapids, MI 49503-4557 2007-05-07
1346574506 Sara Cornell Counselor 445 3rd Ave Sw, Albany, OR 97321-2272 2009-09-21

Office Location

Street Address 149 VILLAGE PARK DR
City POCONO LAKE
State PA
Zip Code 18347-7964

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629130364 James A. Rinehimer Dentist Hc 87 Box 109a Route 940, Village Park Center, Pocono Lake, PA 18347 2006-12-15
1194803825 Mt. Pocono Family Practice Center Family Medicine Rt 940, 147, Pocono Lake, PA 18347 2006-11-01
1376674283 Maureen Ann Rinehimer Physical Therapist 1312 Sawmill Road, Pocono Lake, PA 18347-0000 2007-03-09
1013027861 George Anthony Ptakowski Family Medicine Po Box 147, Pocono Lake, PA 18347-0147 2006-08-30
1649683053 Christine Lauff Speech-Language Pathologist 226 Sawmill Road, Pocono Lake, PA 18347-0700 2014-06-04
1609876648 Deborah A Beiter Family Medicine 130 Riverfront Terrace, Pocono Lake, PA 18347-2519 2005-07-29
1609116359 Ian Diener Family Medicine 102 Kitchens Ln, Pocono Lake, PA 18347-7955 2013-02-18
1073082624 A Bit of Bliss Therapy, Inc Massage Therapist 965 Route 940 Ste 103, Pocono Lake, PA 18347-8205 2018-11-13
1598835381 Blanche Howard Counselor Hc 88 Box 424, Pocono Lake, PA 18347-9612 2006-11-08
1205083748 Christina Lascala Licensed Practical Nurse Hc 88 Box 1575, Pocono Lake, PA 18347-9619 2008-08-27
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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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NPI Name Taxonomy Address Enumeration
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1124635891 Dylan Alexander Corp Psychologist 303 Farmstead Ln Apt 16, State College, PA 16803-2519 2020-09-28
1184231995 Dorothy Cashore Psychologist 907 West St Rm 214, Pittsburgh, PA 15221-2838 2020-09-25
1134734213 Heejin Kim Psychologist 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010-1559 2020-09-15
1912518226 Karen Dybner-madero Psychologist 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 2020-08-11
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Competitor

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City POCONO LAKE
Zip Code 18347

Improve Information

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Dataset Information

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.

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