DR. CRISSY TAMIKO MIYAKE (NPI# 1417261694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417261694 |
| Entity Type | Individual |
| Full Name | DR. CRISSY TAMIKO MIYAKE |
| Other Name | DR. CRISSY TAMIKO MCNEAL |
| Credential | PSY.D. |
| Practice Address |
5351c Jaycee Ave Suite 1 Harrisburg PA 17112-2997 |
| Practice Telephone | 7176572080 |
| Mailing Telephone | 7176572080 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016761 | PA | Behavioral Health & Social Service Providers |
| Street Address |
5351C JAYCEE AVE SUITE 1 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414576 | Lori Peters | Counselor | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2020-07-20 |
| 1760020028 | Taylor Stoner | Social Worker | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2019-12-18 |
| 1285191932 | Devann O'connell | Behavioral Analyst | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2019-02-28 |
| 1356825558 | Briana Gordon | Behavioral Analyst | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2018-09-24 |
| 1891234910 | Kyle Newkam | Counselor | 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 | 2017-02-22 |
| 1073058004 | Shannon Williard | Social Worker | 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 | 2016-12-29 |
| 1871037432 | Jessie Riley | Behavioral Analyst | 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 | 2016-12-15 |
| 1194267674 | Alyssa Steele | Behavioral Analyst | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2016-11-15 |
| 1013465517 | Andrew Shaffer | Counselor | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2016-09-14 |
| 1447658141 | Jacob Faust | Social Worker | 5351c Jaycee Ave, Harrisburg, PA 17112-2997 | 2014-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500479 | Yin Lin | Psychologist | 2595 Interstate Dr Suite 103, Harrisburg, PA 11710 | 2018-03-01 |
| 1790115491 | Jessica Leigh Taylor | Psychologist | 2601 Herr St, Harrisburg, PA 17103 | 2013-11-15 |
| 1295089613 | Sasha Mondragon | Psychologist | 2595 Interstate Dr, Ste 103, Medop Behavioral Health Associates of Pennsylvania PC, Harrisburg, PA 17110-9380 | 2012-11-07 |
| 1154627560 | Sunrise Psychological Services LLC | Psychologist | 5922 Linglestown Rd, 1st Floor, Harrisburg, PA 17112-1149 | 2011-02-02 |
| 1346540770 | Masami Junod | Psychologist | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2010-11-02 |
| 1932112489 | Ivan S Zook | Psychologist | 3400 Rutherford St, Harrisburg, PA 17111-1851 | 2006-08-15 |
| 1861414369 | Riegler Shienvold & Associates | Psychologist | 2151 Linglestown Road, Suite 200, Harrisburg, PA 17110 | 2006-07-24 |
| 1447280201 | Patrick Rieker | Psychologist | 5351 Jaycee Ave # C, Suite #1, Harrisburg, PA 17112-2938 | 2006-07-04 |
| 1093776270 | Janet K. Kelley | Psychologist | 2101 N Front St, Harrisburg, PA 17110-1086 | 2006-03-29 |
| 1619441862 | Shawn Kelly Pritchett | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2019-01-21 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on DR. CRISSY TAMIKO MIYAKE.
| 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.