JACQUELYN M ZAVODNICK (NPI# 1740218510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740218510 |
| Entity Type | Individual |
| Full Name | JACQUELYN M ZAVODNICK |
| Credential | MD |
| Practice Address |
1041 W Bridge St Stes 1 & 2, Devereux Beneto Ctr Comm Svcs Devereux Phoenixville PA 19460 |
| Mailing Address |
1655 Oakwood Dr N122 Narberth PA 19072-1017 |
| Practice Telephone | 6109338110 |
| Practice Fax Number | 6102965866 |
| Mailing Telephone | 6106689997 |
| Mailing Fax Number | 6102965866 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| 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 |
MD015911E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0005544390339 | 05 |
| Street Address |
1041 W BRIDGE ST STES 1 & 2, DEVEREUX BENETO CTR COMM SVCS DEVEREUX |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258709 | Megan Eckert | Marriage & Family Therapist | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2020-02-24 |
| 1750930533 | Jolynn Natalie Schwartz | Registered Nurse | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-09-05 |
| 1306491253 | Lara Haagen | Counselor | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-08-07 |
| 1124673041 | Matthew Perugini | Counselor | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-08-07 |
| 1891349395 | Lauren Gervasio | Peer Specialist | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-08-01 |
| 1124670823 | Teresa Mg Massey | Rehabilitation Counselor | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-07-12 |
| 1922650845 | Cassandra A. Rudderow | Case Manager/Care Coordinator | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-07-11 |
| 1639721723 | Brittany Fritchman | Case Manager/Care Coordinator | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-07-10 |
| 1366094450 | Samantha Marie Craner | Case Manager/Care Coordinator | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2019-07-10 |
| 1326510066 | Devereux Foundation | Clinic/Center | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2018-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| 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 |
|---|---|---|---|---|
| 1538420740 | Brian Scott Rogers | Psychiatry & Neurology | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2012-06-04 |
| 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 | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
Please comment or provide details below to improve the information on JACQUELYN M ZAVODNICK.
| 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.