LAUREN KRIVITZKY


Address: 34th & Civic Center Blvd, Philadelphia, PA 19104
Phone: 2155907555

LAUREN KRIVITZKY (NPI# 1710067392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710067392
Entity Type Individual
Full Name LAUREN KRIVITZKY
Credential PHD
Practice Address 34th & Civic Center Blvd
Philadelphia
PA 19104
Practice Telephone 2155907555
Practice Fax Number 2155907387
Mailing Telephone 2155907555
Mailing Fax Number 2155907387
Enumeration Date 2006-10-17
Last Update Date 2012-02-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent 		PS017107 PA Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent 		PSY100234 DC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 002747200 05

Office Location

Street Address 34TH & CIVIC CENTER BLVD
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790782605 Samuel Charles Blackman Pediatrics 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 2005-07-07
1528461233 Ayesha Malik Optometrist 34th & Civic Center Blvd, Philadelphia, PA 19104-4306 2014-10-08
1891102281 Lloyd Bender Ophthalmology 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4306 2014-07-17
1639414600 Ignacio Juaneda Ruiz Funes Thoracic Surgery (Cardiothoracic Vascular Surgery) 34th & Civic Center Blvd, Department of Ct Surgery, Philadelphia, PA 19104 2012-12-03
1306180641 Bart P Leroy Ophthalmology 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4306 2012-11-26
1669727632 Orith Waisbourd-zinman Pediatrics 34th & Civic Center Blvd, Philadelphia, PA 19104 2012-07-17
1396090361 Anna Lee Pathology 34th & Civic Center Blvd, Philadelphia, PA 19104 2012-07-17
1528321882 Adam Wolpaw Pediatrics 34th & Civic Center Blvd, 9nw55, Main Hospital, Philadelphia, PA 19104 2012-06-21
1356604615 Ponney Palanisamy Pediatrics 34th & Civic Center Blvd, 9nw55, Main Hospital, Philadelphia, PA 19104 2012-06-21
1083977342 Mary Vajravelu Pediatrics 34th & Civic Center Blvd, 9nw55, Main Hospital, Philadelphia, PA 19104 2012-06-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164067450 Whitney Guthrie Psychologist 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 2019-11-11
1841849460 Colleen Mary Harker Psychologist 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 2019-09-06
1326536749 Rebecca Kanine Psychologist 2716 South St Fl 8, Philadelphia, PA 19146-2305 2018-05-01
1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1386042679 Jann Glider Psychologist 6811 Quincy St, Philadelphia, PA 19119-2663 2014-12-18
1871756486 West Philadelphia Community Mental Health Consortium Inc. Psychologist 2020 Pennsylvania Ave, Philadelphia, PA 19130-3832 2008-07-03
1588836118 Joshua Balogun Medical Center Psychologist 5044 Spruce Street, Philadelphia, PA 19139-4148 2008-03-24
1154531002 Chiara Linda Nuzzo Psychologist 7219 Devon St, Philadelphia, PA 19119-1709 2007-05-22
1881219152 Jill Mara Plevinsky Psychologist 3440 Market St, Philadelphia, PA 19104-3325 2020-06-12
1568085223 Jamie Novak Shoop Psychologist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-05-28
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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