ASHLI BROOKE PELLEGRINO (NPI# 1497010953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497010953 |
| Entity Type | Individual |
| Full Name | ASHLI BROOKE PELLEGRINO |
| Other Name | ASHLI BROOKE WALTERS |
| Credential | PHD |
| Practice Address |
200 Scenery Dr State College PA 16801-7974 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 8142314560 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS018557 | PA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 65 Memorial Rd, West Hartford, CT 061072434 | 8606962925 |
| Street Address |
200 SCENERY DR |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412217 | Bernard V Eck | Pharmacist | 200 Scenery Dr, State College, PA 16801-7974 | 2006-01-18 |
| 1679182554 | Elena Denger | Pharmacist | 200 Scenery Dr, State College, PA 16801-7974 | 2020-07-28 |
| 1407465479 | Lauren Elizabeth Pheasant | Pharmacist | 200 Scenery Dr, State College, PA 16801-7974 | 2020-07-27 |
| 1518585553 | Eric Paul Tricou | Genetic Counselor, MS | 200 Scenery Dr, State College, PA 16801-7974 | 2020-07-07 |
| 1659902286 | Mary Beth Kensinger | Family Medicine | 200 Scenery Dr, State College, PA 16801-7974 | 2020-02-02 |
| 1932685625 | Zachary Michael Salvati | Genetic Counselor, MS | 200 Scenery Dr, State College, PA 16801-7974 | 2018-07-16 |
| 1134657588 | Ethan Eric Ernst | Physician Assistant | 200 Scenery Dr, State College, PA 16801-7974 | 2017-05-30 |
| 1811345416 | Kelli Jo Simco | Physician Assistant | 200 Scenery Dr, State College, PA 16801-7974 | 2016-05-25 |
| 1841677424 | Jennifer Leigh Brooks | Dermatology | 200 Scenery Dr, State College, PA 16801-7974 | 2015-05-02 |
| 1174926455 | Dawn Rosenbaum | Physician Assistant | 200 Scenery Dr, State College, PA 16801-7974 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| 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 |
|---|---|---|---|---|
| 1124635891 | Dylan Alexander Corp | Psychologist | 303 Farmstead Ln Apt 16, State College, PA 16803-2519 | 2020-09-28 |
| 1023407673 | Taking Flight Developmental Center, LLC | Psychologist | 1981 Cato Ave, Suite 2, State College, PA 16801-2754 | 2015-01-21 |
| 1326221896 | Mount Nittany Medical Center Health Services Inc | Psychologist | 1800 East College Ave, State College, PA 16803-6797 | 2007-12-07 |
| 1225256423 | Julian B Metter | Psychologist | 313 Logan Ave, State College, PA 16801-4623 | 2007-04-23 |
| 1265566848 | Barry R. Brink, Phd, P.C. | Psychologist | 830 Fairway Rd, State College, PA 16803-3412 | 2007-03-15 |
| 1881743110 | Carol Lynee Skinner | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2007-01-09 |
| 1760561708 | Aki Kawamoto | Psychologist | 103 E Beaver Ave Ste 3, State College, PA 16801-4969 | 2006-11-02 |
| 1497765648 | David Alexander Macdonald Sr. | Psychologist | 1001 University Drive, Suite #4, State College, PA 16801 | 2006-08-09 |
| 1821568163 | Cristin Marie Hall | Psychologist | 315 S Allen St Ste 218, State College, PA 16801-4850 | 2018-11-29 |
| 1154831576 | Harris Mental Health LLC | Psychologist | 925 W College Ave, State College, PA 16801-2804 | 2017-10-11 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on ASHLI BROOKE PELLEGRINO.
| 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.