LIDIJA PETROVIC-DOVAT (NPI# 1700835477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700835477 |
| Entity Type | Individual |
| Full Name | LIDIJA PETROVIC-DOVAT |
| Credential | M.D. |
| Practice Address |
22 Northeast Dr Hershey PA 17033-2732 |
| Mailing Address |
Po Box 858 A410 Hershey PA 17033-0858 |
| Practice Telephone | 7175318338 |
| Practice Fax Number | 7175316250 |
| Mailing Telephone | 8002431455 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD440874 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
22 NORTHEAST DR |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275091829 | Michael Thomas Decristofaro | Marriage & Family Therapist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2019-03-03 |
| 1265948079 | Jesse R Northridge | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-12-18 |
| 1184140303 | Marci J Houck | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-08-18 |
| 1356871644 | Autumn Joy Kujawa | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-06-19 |
| 1417484833 | Dahlia Mukherjee | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-16 |
| 1447786421 | Mohammad Ali Humza Salim | Student in an Organized Health Care Education/Training Program | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-05-11 |
| 1336673599 | Sierra L Brown | Psychologist | 22 Northeast Dr, Hershey, PA 17033-2732 | 2017-04-14 |
| 1508317082 | Stephanie F Harvison | Counselor | 22 Northeast Dr, Hershey, PA 17033-2732 | 2016-10-19 |
| 1487006144 | Chelsea Kay Belles | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2016-07-06 |
| 1124491261 | Veronica Mia Jusino | Counselor | 22 Northeast Dr, Hershey, PA 17033-2732 | 2015-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932422482 | Ehsan U Syed | Psychiatry & Neurology | 500 University Dr, Hershey, PA 17033-2360 | 2010-03-11 |
| 1548476856 | Jolene Hillwig-garcia | Psychiatry & Neurology | 500 University Dr, H088, Hershey, PA 17033-2360 | 2007-05-15 |
| 1952356768 | Michael J Murray | Psychiatry & Neurology | 22 Northeast Dr, Hershey, PA 17033-2732 | 2006-05-23 |
| 1447204573 | Christopher A Petersen | Psychiatry & Neurology | 22 Northeast Dr, Hershey, PA 17033-2732 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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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.