DR. GEORGIANNA M ACHILLES (NPI# 1548444268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548444268 |
| Entity Type | Individual |
| Full Name | DR. GEORGIANNA M ACHILLES |
| Credential | PHD |
| Practice Address |
454 Rolling Ridge Dr. Port Matilda PA 16870 |
| Mailing Address |
120 Blueberry Hill Ln Port Matilda PA 16870-7035 |
| Practice Telephone | 8142351100 |
| Practice Fax Number | 8142351101 |
| Mailing Telephone | 8142388092 |
| Mailing Fax Number | 8142351101 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0810003856 | VA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810003856 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0810003856 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1024294500001 | 05 |
| Street Address |
454 ROLLING RIDGE DR. |
| City | PORT MATILDA |
| State | PA |
| Zip Code | 16870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063732717 | St. Joseph Institute | Substance Abuse Rehabilitation Facility | 134 Jacobs Way, Port Matilda, PA 16870 | 2010-06-04 |
| 1497803605 | Paul Hughes | Dentist | 101 Briar Court, Port Matilda, PA 16870 | 2007-01-08 |
| 1992896237 | Patrick A. Jarvie | Pediatrics | Geisinger Pediatrics, 132 Abigail Lane, Port Matilda, PA 16870 | 2006-09-28 |
| 1316948011 | Port Matilda Emergency Medical Services | Ambulance | 402 S High St, Port Matilda, PA 16870 | 2005-08-03 |
| 1366934101 | Karen Marie Brooks | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870 | 2018-06-06 |
| 1023556677 | Shahida Fareed | Psychologist | 132 Abigail Ln, Port Matilda, PA 16870 | 2017-02-03 |
| 1326410622 | Nickol Marie Cleary | Physical Therapist | 785 E Mountain Rd, Port Matilda, PA 16870 | 2015-10-26 |
| 1417323031 | Anne Sommerfeld Clause | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870 | 2015-08-18 |
| 1306125190 | Hithem Rahmi | Orthopaedic Surgery | 132 Abigail Lane, Port Matilda, PA 16870 | 2011-08-10 |
| 1487949467 | Trevor Sherrick Smith | Family Medicine | 132 Abigail Ln, Port Matilda, PA 16870 | 2011-06-17 |
| Find all providers in zip 16870 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT MATILDA |
| Zip Code | 16870 |
Please comment or provide details below to improve the information on DR. GEORGIANNA M ACHILLES.
| 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.