MR. JUSTIN ROBERT DEFONSO (NPI# 1366742330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366742330 |
Entity Type | Individual |
Full Name | MR. JUSTIN ROBERT DEFONSO |
Credential | MS |
Practice Address |
421 Pasadena Dr Mckeesport PA 15133-3615 |
Practice Telephone | 4124808683 |
Mailing Telephone | 4124808683 |
Enumeration Date | 2010-10-25 |
Last Update Date | 2010-10-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
421 PASADENA DR |
City | MCKEESPORT |
State | PA |
Zip Code | 15133-3615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619145992 | Scott Crill Denlinger | Specialist/Technologist | South Allegheny High School, 2743 Washington Blvd., Mckeesport, PA 15133 | 2008-02-20 |
1790992717 | Larry E Maglicco | Medical Genetics, Ph.D. Medical Genetics | Upmc Mckeesport Hospital, 1500 Fith Ave, Mckeesport, PA 15133 | 2007-05-17 |
1972540706 | South Allegheny School District | Local Education Agency (LEA) | 2743 Washington Blvd, Mckeesport, PA 15133-2017 | 2006-06-01 |
1043824451 | Renee Ann Conn | Nurse Practitioner | 3204 Orchard Dr, Mckeesport, PA 15133-2214 | 2020-09-02 |
1134750912 | Lauren Diluca | Specialist/Technologist | 3006 Woodrow St, Mckeesport, PA 15133-2416 | 2020-01-30 |
1891709150 | Richard Laptosky | Nurse Practitioner | 207 Owens Ave, Mckeesport, PA 15133-2433 | 2006-07-29 |
1346576980 | Kerri Ann Parrott | Nurse Practitioner | 918 Arlington St, Mckeesport, PA 15133-3884 | 2009-11-01 |
1699743880 | James Patrick Bridges | Specialist | 904 Upston Ave, Port Vue, PA 15133-4038 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
1568062560 | Chanel West | Chore Provider | 607 Atlantic Ave, Mckeesport, PA 15132-3713 | 2020-10-28 |
1043824451 | Renee Ann Conn | Nurse Practitioner | 3204 Orchard Dr, Mckeesport, PA 15133-2214 | 2020-09-02 |
1518571140 | Melissa Jane Dean | Adult Companion | 1607 Packer St, Mckeesport, PA 15132-4939 | 2020-09-01 |
1578172177 | Karen B Garland | Counselor | 2117 Jenny Lind St, Mckeesport, PA 15132-4457 | 2020-07-29 |
1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
Find all providers in MCKEESPORT |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962921544 | Mallory Marta | Counselor | 500 Walnut St., 3rd Floor, Mckeesport, PA 15132-2801 | 2017-09-14 |
1417490103 | Arti Maharaj | Counselor | 500 Walnut St Fl 3, Mckeesport, PA 15132-2801 | 2016-11-29 |
1275982134 | Lydia Adams | Counselor | 500 Walnut St Fl 2, Mckeesport, PA 15132-2801 | 2016-06-10 |
1154595080 | Kevin Mccullough | Counselor | 332 Fifth Ave, Suite 214, Mckeesport, PA 15132-2633 | 2008-04-22 |
1295909117 | Katharine Anderson | Counselor | 335 Fifth Ave, Mckeesport, PA 15132-2624 | 2008-04-22 |
1194999029 | Beth A. Nation | Counselor | 332 Fifth Ave Ste 214, Mckeesport, PA 15132-2616 | 2008-04-22 |
1073547790 | Tina Marshall | Counselor | 335 Shaw Ave, Mckeesport, PA 15132-2918 | 2006-07-10 |
1154351518 | Carol Lingsch | Counselor | 606 Locust St, Mckeesport, PA 15132-2911 | 2006-07-03 |
1992280176 | Cassandra Lieb | Counselor | 500 Walnut St Fl 3, Mckeesport, PA 15132-2801 | 2018-10-03 |
1427543917 | Heather Dawn Jakub | Counselor | 335 Shaw Ave, Mckeesport, PA 15132-2918 | 2018-06-27 |
Find all providers in MCKEESPORT |
City | MCKEESPORT |
Zip Code | 15133 |
Please comment or provide details below to improve the information on MR. JUSTIN ROBERT DEFONSO.
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.