DR. KARA DEVERS FAWLEY (NPI# 1619455706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619455706 |
| Entity Type | Individual |
| Full Name | DR. KARA DEVERS FAWLEY |
| Other Name | DR. KARA ANNE DEVERS |
| Credential | PSYD |
| Practice Address |
1080 N Delaware Ave Philadelphia PA 19125-4330 |
| Practice Telephone | 2156888707 |
| Mailing Telephone | 2156888707 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018234 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1080 N DELAWARE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872196 | Sarah Charlotte Goldfine-ward | Nurse Practitioner | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2006-11-30 |
| 1447885165 | Kiera L Rasmussen | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-03-04 |
| 1063043040 | Emma Vila-gillam | Behavioral Analyst | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-29 |
| 1205466604 | Jessica Moleano | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-24 |
| 1891335246 | Elizabeth M Galbally | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-14 |
| 1740826858 | Honoris Manuel Ferreras | Marriage & Family Therapist | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-11-24 |
| 1932759925 | Lauren Mcneil | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-09-12 |
| 1295292795 | Jodie Antoine | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-02-21 |
| 1427533280 | Greater Philadelphia Health Action, Inc. | Clinic/Center | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-09-27 |
| 1487162830 | Lauren Griesser | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
| 1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
| 1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
Please comment or provide details below to improve the information on DR. KARA DEVERS FAWLEY.
| 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.