SPRINGFIELD PSYCHOLOGICAL PC (NPI# 1295705317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295705317 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD PSYCHOLOGICAL PC |
| Other Organization Name | ASSOCIATES OF SPRINGFIELD PSYCHOLOGICAL |
| Practice Address |
1489 Baltimore Pike Bldg. 200, Suite 250 Springfield PA 19064-3958 |
| Practice Telephone | 6105442110 |
| Practice Fax Number | 6106049510 |
| Mailing Telephone | 6105442110 |
| Mailing Fax Number | 6106049510 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT PETER PETRUZZI (PRESIDENT) |
| Authorized Official Telephone | 6105442110 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PS003470-L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PW | MAGELLAN | 0261150000 | 01 |
| Other Name | Type Code |
|---|---|
| Associates of Springfield Psychological | Doing Business As Name - Organization |
| Street Address |
1489 BALTIMORE PIKE BLDG. 200, SUITE 250 |
| City | SPRINGFIELD |
| State | PA |
| Zip Code | 19064-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777057 | Luca Somorjai | Counselor | 1489 Baltimore Pike, Springfield, PA 19064-3958 | 2020-07-21 |
| 1023632601 | Elizabeth Ann Merryfield | Psychologist | 1489 Baltimore Pike, Springfield, PA 19064-3958 | 2020-05-30 |
| 1992240436 | Wendy Shallcross Lam | Psychologist | 1489 Baltimore Pike, Ste 250, Springfield, PA 19064-3958 | 2016-12-19 |
| 1922556372 | Colleen Brown | Psychologist | 1489 Baltimore Pike, Suite 250, Springfield, PA 19064-3958 | 2016-09-14 |
| 1477906881 | Earl Eugene Delong | Psychologist | 1489 Baltimore Pike, Springfield, PA 19064-3958 | 2016-07-20 |
| 1013377985 | Rita Varano | Social Worker | 1489 Baltimore Pike, Michele Reich, Springfield, PA 19064 | 2016-03-04 |
| 1497110217 | Zachary Maichuk | Psychologist | 1489 Baltimore Pike, Bldg. 200, Suite 250, Springfield, PA 19064-3958 | 2015-12-21 |
| 1245632983 | Megan Carlin | Counselor | 1489 Baltimore Pike, Building 200, Suite 250, Springfield, PA 19064-3958 | 2014-09-25 |
| 1518378439 | Christine Mcginnis | Psychologist | 1489 Baltimore Pike, Bldg. 200, Suite 250, Springfield, PA 19064-3958 | 2014-05-13 |
| 1235579921 | Shawn Patricia Kraemer | Counselor | 1489 Baltimore Pike, Springfield, PA 19064-3958 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1427483742 | Casseys Optical Inc | Durable Medical Equipment & Medical Supplies | 139 S State Road, Springfield, PA 19064 | 2013-09-05 |
| 1184982225 | Ultimate Hearing Solutions II, LLC | Audiologist-Hearing Aid Fitter | 471 Baltimore Pike, Springfield, PA 19064 | 2012-04-26 |
| 1295091684 | Theresa Nolan | Registered Nurse | 194 West Sprould Road, Suite 105, Springfield, PA 19064 | 2012-04-10 |
| 1649551367 | Pa Center for Hearing and Balance, LLC | Hearing Aid Equipment | 760 W Sproul Road, Suite 103, Springfield, PA 19064 | 2011-09-08 |
| 1376864694 | Cynthia Lacapra | Family Medicine | 965 Baltimore Pike Ste B2, Springfield, PA 19064 | 2010-06-22 |
| Find all providers in zip 19064 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1205443462 | India Iasia Kyles | Counselor | 82 Tilton St, Springfield, MA 01109-2332 | 2020-09-30 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1568098952 | Jennifer Corsi | Counselor | 130 Maple St Ste 201, Springfield, MA 01103-2214 | 2020-03-17 |
| 1245865500 | Annette Lynn Brandenburg | Counselor | 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 | 2020-03-06 |
| 1962045443 | Emilie Noel Phillips | Counselor | 3826 E Lomita St, Springfield, MO 65809-3710 | 2019-10-28 |
| 1265082234 | Sierra Jane Forney | Counselor | 98 Garnet St, Springfield, MA 01129-1908 | 2019-09-12 |
| 1700438678 | Julie Ann Blythe | Counselor | 620 N Walnut St, Springfield, IL 62702-4930 | 2019-07-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 19064 |
Please comment or provide details below to improve the information on SPRINGFIELD PSYCHOLOGICAL PC.
| 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.