KATHLEEN CHILDS (NPI# 1578016960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578016960 |
| Entity Type | Individual |
| Full Name | KATHLEEN CHILDS |
| Practice Address |
1417 8th Ave Bethlehem PA 18018-2256 |
| Practice Telephone | 4845265210 |
| Practice Fax Number | 8665686561 |
| Mailing Telephone | 4845265210 |
| Mailing Fax Number | 8665686561 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS018618 | PA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619161346 | Kathleen Childs | Nurse Practitioner | 1073 W Main St, Dover Foxcroft, ME 04426-3742 | 2007-09-06 |
| 1760605687 | Kathleen Elizabeth Childs | Counselor | 5074 Dorsey Hall Dr Ste 104, Ellicott City, MD 21042-7794 | 2007-04-10 |
| Street Address |
1417 8TH AVE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772168 | Henry Donald Wills | Psychiatry & Neurology | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2005-09-30 |
| 1407486863 | Erika B Velho | Speech-Language Pathologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2020-01-24 |
| 1578102034 | Alyssa Meredith Bussell | Nurse Practitioner | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2020-01-02 |
| 1023654639 | Molly Elizabeth Pantone | Occupational Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2019-11-19 |
| 1356813356 | Maranda P Mcgovern | Physician Assistant | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2019-01-02 |
| 1962987743 | Diana Hassan | Physician Assistant | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2018-09-27 |
| 1093220493 | Julia Kathryn Corsi | Occupational Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2017-12-06 |
| 1619488715 | Stephanie La | Physical Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2017-10-16 |
| 1932650256 | Andrew Mergel | Physician Assistant | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2016-10-21 |
| 1699146662 | Patricia Anne Koba | Nurse Practitioner | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2015-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962891663 | Aviva Y Marlin | Clinical Neuropsychologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2015-01-18 |
| 1528368370 | Bonita Fisher | Clinical Neuropsychologist | 206 W Broad St, Bethlehem, PA 18018-5571 | 2010-10-27 |
| 1578875407 | Daniel Medlar | Clinical Neuropsychologist | 35 E Elizabeth Ave, Suite 5, Bethlehem, PA 18018-6505 | 2010-07-08 |
| 1588755425 | St. Luke's Physician Group, Inc. | Clinical Neuropsychologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2006-09-27 |
| 1518913813 | Muhlenberg Hospital Center | Clinical Neuropsychologist | 2545 Schoenersville Rd, Banko Building, Bethlehem, PA 18017-7300 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
| 1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
| 1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
| 1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
| 1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
| 1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
| 1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
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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.