DR. AMY KRUKOVITZ (NPI# 1437695285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437695285 |
| Entity Type | Individual |
| Full Name | DR. AMY KRUKOVITZ |
| Credential | PSYD |
| Practice Address |
2300 Adams Ave Scranton PA 18509-1514 |
| Practice Telephone | 5706778454 |
| Mailing Telephone | 5706778454 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS018214 | PA | Behavioral Health & Social Service Providers |
| Street Address |
2300 ADAMS AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18509-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601773 | Steven B. Eisner | Internal Medicine | 2300 Adams Ave, Scranton, PA 18509-1514 | 2006-03-02 |
| 1396399093 | Alexander Joseph Krasniewski | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1514 | 2019-07-31 |
| 1710531116 | Tara Begor | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1514 | 2019-07-24 |
| 1992358584 | Samantha Compton | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1514 | 2019-07-23 |
| 1790338879 | Griffin Henry Pyott | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1598 | 2019-07-18 |
| 1538624747 | Kyra Marie Weren | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1598 | 2019-02-01 |
| 1487130290 | Anthony Navaro | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1514 | 2018-07-15 |
| 1902391618 | Dana Lenzer | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1514 | 2018-06-25 |
| 1215420773 | Madison Molfetto | Student in an Organized Health Care Education/Training Program | 2300 Adams Ave, Scranton, PA 18509-1514 | 2018-06-10 |
| 1912499039 | Zoe Dakota Simeone | Specialist/Technologist | 2300 Adams Ave, Scranton, PA 18509-1514 | 2018-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345279 | Michael Joseph Aronica | Physical Medicine & Rehabilitation | 1609 Jefferson Ave, Dunmore, PA 18509 | 2019-03-14 |
| 1467942888 | Mikayla Dynel Attwood | Specialist/Technologist | 2300 Adam's Ave, Scranton, PA 18509 | 2018-05-10 |
| 1497294417 | Brandt Chiropractic and Wellness, Pllc | Chiropractor | 1400 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2017-02-23 |
| 1285088096 | Sara Talarico | Specialist/Technologist | 501 Vine Street, Scranton, PA 18509 | 2016-04-18 |
| 1700256906 | Thadeus Brandt | Chiropractor | 1439 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2015-09-30 |
| 1164762209 | Andrew Joseph Voinski | Dentist | 2326 Boulevard Ave, Scranton, PA 18509 | 2013-02-27 |
| 1386991727 | Paul James Mcdonough Jr. | Counselor | 118 Monahan Avenue, Dunmore, PA 18509 | 2012-08-03 |
| 1639403611 | Primary Care Medical Associates, P.C. | Internal Medicine | 1416 Monroe Avenue, Suite 201, Dunmore, PA 18509 | 2009-09-24 |
| 1316131360 | Marywood University | Emergency Medicine | 2300 Adams Avenue, Oneill Center for Healthy Families, Scranton, PA 18509 | 2007-09-04 |
| 1831214535 | Kurt Paul Moran | Internal Medicine | 10 Greenridge Street, Suite#2, Scranton, PA 18509 | 2007-03-20 |
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| 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 |
|---|---|---|---|---|
| 1578939005 | Caroline Johanson | Psychologist | 3218 Pittston Ave Ste 8, Scranton, PA 18505-2964 | 2015-08-19 |
| 1225254352 | Frank Michael Mrykalo | Psychologist | 2227 Hollister Ave, Scranton, PA 18508-2087 | 2007-04-17 |
| 1609924711 | Chet Muklewicz | Psychologist | 1030 Marion St, Scranton, PA 18509-2316 | 2007-01-08 |
| 1518061662 | Thomas P Smith | Psychologist | 321 Spruce Street, Bank Towers 4th Floor, Scranton, PA 18503 | 2006-09-11 |
| 1477519288 | Family Enrichment Center PC | Psychologist | 541 Wyoming Ave, Scranton, PA 18509-3000 | 2006-04-21 |
| 1255305751 | Michael Joseph Kirwin | Psychologist | 327 North Washington Ave, Ste 501, Scranton, PA 18503 | 2006-02-14 |
| 1881673697 | Diana Hoffman | Psychologist | 314 S Irving Ave, Scranton, PA 18505-2024 | 2006-01-10 |
| 1831709716 | Michael Matthews | Psychologist | 541 Wyoming Ave, Scranton, PA 18509-3000 | 2020-08-05 |
| 1992255194 | Jessica Sevecke | Psychologist | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2016-10-12 |
| 1699194266 | Charles F Leo | Psychologist | 326 Adams Ave, Scranton, PA 18503-1604 | 2014-04-10 |
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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.