MIND-BODY MANAGEMENT, LTD. (NPI# 1396987046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396987046 |
| Entity Type | Organization |
| Organization Name | MIND-BODY MANAGEMENT, LTD. |
| Practice Address |
108 S Church St Macungie PA 18062-1038 |
| Practice Telephone | 6104625585 |
| Practice Fax Number | 6109665616 |
| Mailing Telephone | 6104625585 |
| Mailing Fax Number | 6109665616 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | DR. KELLI J DEIACO (PRESIDENT) |
| Authorized Official Telephone | 6104625585 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PC004790 | PA | Ambulatory Health Care Facilities |
| Street Address |
108 S CHURCH ST |
| City | MACUNGIE |
| State | PA |
| Zip Code | 18062-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699945766 | Kelli J Deiaco | Counselor | 108 S Church St, Macungie, PA 18062-1038 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595275 | Jesse Christopher Dugan | Chiropractor | 6690 Hauser Road, Building O Apartment 201, Macungie, PA 18062 | 2019-09-03 |
| 1710381074 | Kelly Graham Zuluaga | Speech-Language Pathologist | 4674 Berwyn Lane, Macungie, PA 18062 | 2014-10-15 |
| 1497168025 | Faith Home Health Care, Inc. | Registered Nurse | 239 Willow Street, Macungie, PA 18062 | 2014-06-11 |
| 1164793253 | Phallentz Michel | Licensed Practical Nurse | 6595 Arbordeau Lane, Macungie, PA 18062 | 2012-01-20 |
| 1982847984 | Jeremiah Edward Williams Sr. | Physical Therapy Assistant | 1718 Sprink Creek Road, Macungie, PA 18062 | 2009-04-07 |
| 1376781971 | Deanna Ligenza | Family Medicine | 6887 Sunflower Lane, Macungie, PA 18062 | 2009-02-04 |
| 1568566313 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3295 Pa Route 100, Macungie, PA 18062 | 2006-09-12 |
| 1821048349 | Arthur R Kaplan | Optometrist | 3261 Route 100, Macungie, PA 18062 | 2006-05-12 |
| 1548219736 | Desiree Nicole Mccaslin | Physical Therapist | 175 W. Main St., Macungie, PA 18062 | 2006-05-08 |
| 1194205484 | Tamatha J Urffer | Nurse Practitioner | 3760 Brookside Rd, Macungie, PA 18062 | 2018-08-16 |
| Find all providers in zip 18062 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1780291062 | Grasta Counseling Services, LLC | Clinic/Center | 321 Spruce St Ste 502, Scranton, PA 18503-1445 | 2020-09-30 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1033725569 | Deirdre Razzi, Lcsw | Clinic/Center | 207 W Plumstead Ave, Lansdowne, PA 19050-1120 | 2020-09-21 |
| 1760096267 | Gail R. Ludwig | Clinic/Center | 689 Oxford Blvd, Pittsburgh, PA 15243-1637 | 2020-09-02 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1861002461 | Maternal Wellness Center LLC | Clinic/Center | 67 Byberry Rd, Hatboro, PA 19040-3205 | 2020-08-07 |
| 1104435536 | Finding Peace of The Poconos LLC | Clinic/Center | 310 Miller Rd, Stroudsburg, PA 18360-8407 | 2020-07-31 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.