DR. JASON BRYANT TANENBAUM (NPI# 1710460845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710460845 |
| Entity Type | Individual |
| Full Name | DR. JASON BRYANT TANENBAUM |
| Credential | PSY.D. |
| Practice Address |
1243 Easton Rd Warrington PA 18976-3801 |
| Mailing Address |
1243 Easton Rd Ste 203 Warrington PA 18976-3801 |
| Practice Telephone | 2154911119 |
| Mailing Telephone | 2154911119 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS018620 | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS018620 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1243 EASTON RD |
| City | WARRINGTON |
| State | PA |
| Zip Code | 18976-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564932 | James J. Stone | Clinical Neuropsychologist | 1243 Easton Rd, Suite 203, Warrington, PA 18976-1822 | 2006-07-05 |
| 1861858797 | Daniel Safford | Physical Therapist | 1243 Easton Rd, Suite 104, Warrington, PA 18976-3801 | 2016-01-07 |
| 1497027924 | Nancy Louise Dinatale | Counselor | 1243 Easton Rd, Suite 203, Warrington, PA 18976-3801 | 2012-01-30 |
| 1205119369 | The Center for Neuropsychology & Counseling, PC | Clinical Neuropsychologist | 1243 Easton Rd, Suite 203, Warrington, PA 18976-3801 | 2011-09-26 |
| 1174759260 | Amy Lynn Reuther | Physical Therapist | 1243 Easton Rd, Suite 104, Warrington, PA 18976-3801 | 2009-06-03 |
| 1053538256 | Carl J Mangione | Specialist | 1243 Easton Rd, Suite 104, Warrington, PA 18976-3801 | 2007-04-19 |
| 1669546495 | Mangione Physical Therapy Inc | Physical Therapist | 1243 Easton Rd, Suite 104, Warrington, PA 18976-3801 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348424 | Patel Orthodontics, Pllc | Dentist | 1520-1528 N. Main Street, Building 800; Suite 202, Warrington, PA 18976 | 2018-12-18 |
| 1831615970 | Brianna Faust | Speech-Language Pathologist | 1660 S Easton Rd, Warrington, PA 18976 | 2017-08-21 |
| 1346624566 | Victoria Crow | Dentist | 259 Metro Dr, Warrington, PA 18976 | 2015-07-17 |
| 1528451283 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 221 Easton Road, Suite #112, Warrington, PA 18976 | 2015-03-05 |
| 1922424639 | Kathleen Demarco | Physical Therapist | 1616 Easton Road, Warrington, PA 18976 | 2014-03-06 |
| 1053661991 | Joy Ann Goettner | Occupational Therapy Assistant | 1660 Easton Road, Warrington, PA 18976 | 2012-09-19 |
| 1366724130 | Annmarie Crowell | Social Worker | 1432 Easton Rd., 2c, Warrington, PA 18976 | 2011-09-16 |
| 1154586113 | Jay Clauss | Chiropractor | 1214 Easton Rd., Warrington, PA 18976 | 2008-07-18 |
| 1427227941 | Kingsmount Inc. | Durable Medical Equipment & Medical Supplies | 1380 Easton Rd - Unit 11, Foot Comfort Center, Warrington, PA 18976 | 2008-02-28 |
| 1962614818 | Christine Carol Pignatelli | Occupational Therapist | 2314 Oakfield Road, Warrington, PA 18976 | 2007-05-04 |
| Find all providers in zip 18976 | ||||
| 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 |
|---|---|---|---|---|
| 1275564932 | James J. Stone | Clinical Neuropsychologist | 1243 Easton Rd, Suite 203, Warrington, PA 18976-1822 | 2006-07-05 |
| 1205119369 | The Center for Neuropsychology & Counseling, PC | Clinical Neuropsychologist | 1243 Easton Rd, Suite 203, Warrington, PA 18976-3801 | 2011-09-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WARRINGTON |
| Zip Code | 18976 |
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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.