NAZARETH PHYSICIAN SERVICES (NPI# 1326565920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326565920 |
| Entity Type | Organization |
| Organization Name | NAZARETH PHYSICIAN SERVICES |
| Other Organization Name | NPS PSYCHIATRY |
| Practice Address |
2701 Holme Ave Ste 104 Phila PA 19152-2029 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 2153318897 |
| Practice Fax Number | 2159912044 |
| Mailing Telephone | 6105676964 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | AMIEE BRENNAN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 6105676964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| NPS Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053838474 | Nazareth Physician Services | Internal Medicine | 2701 Holme Ave Ste 302, Phila, PA 19152-2029 | 2017-08-25 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1508382441 | Nazareth Physician Services | Psychologist | 2701 Holme Ave Ste 104, Phila, PA 19152-2029 | 2017-08-22 |
| 1619492394 | Nazareth Physician Services | Internal Medicine | 2701 Holme Ave Ofc Building, Phila, PA 19152-2029 | 2017-08-03 |
| 1306359997 | Nazareth Physician Services | Orthopaedic Surgery | 2701 Holme Ave, Phila, PA 19152-2029 | 2017-11-06 |
| 1861918708 | Nazareth Physician Services | Obstetrics & Gynecology | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-22 |
| 1033634704 | Nazareth Physician Services | Internal Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2017-08-03 |
| 1518397116 | Nazareth Physician Services | Radiology | 2701 Holme Ave, Suite 302, Philadelphia, PA 19152-2029 | 2013-11-18 |
| Street Address |
2701 HOLME AVE STE 104 |
| City | PHILA |
| State | PA |
| Zip Code | 19152-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508382441 | Nazareth Physician Services | Psychologist | 2701 Holme Ave Ste 104, Phila, PA 19152-2029 | 2017-08-22 |
| 1093323511 | Helene Waisbord | Dietitian, Registered | 2701 Holme Ave Ste 104, Phila, PA 19152-2029 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| 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 |
|---|---|---|---|---|
| 1306919170 | Barry L. Kayes | Psychologist | 8040 Roosevelt Boulevard, Suite 217, Phila, PA 19152-2902 | 2006-11-17 |
| 1093807794 | Judith Sanders | Psychologist | 1500 Locust St, 2806, Phila, PA 19102 | 2006-09-29 |
| 1457601155 | Krista Mancarella | Psychologist | 5301 Ridge Ave, Phila, PA 19128-3757 | 2012-09-11 |
| 1932341658 | Erika Kawamura | Psychologist | 4200 Monument Road, Belmont Center, Phila, PA 19131 | 2009-03-26 |
| 1629257746 | Krystal Renee Stober | Psychologist | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-10-25 |
| 1538386941 | Jilla Carpey | Psychologist | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-04-19 |
| 1174640718 | Ruth E Kanost | Psychologist | 112 N Broad St, Phila, PA 19102-1510 | 2007-03-26 |
| 1952459471 | Jay Louis Segal | Psychologist | 1601 Walnut St, Ste. 1128, Phila, PA 19102-2944 | 2007-01-08 |
| 1144309212 | Anita T Laver | Psychologist | 255 S 17th St, Suite 2601, Phila, PA 19103 | 2006-11-02 |
| 1942219043 | Fred Brian Chase | Psychologist | 135 S 19th St, Suite 240, Phila, PA 19103-4912 | 2006-08-07 |
| Find all providers in PHILA | ||||
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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.