GEOFFREY A GADOW (NPI# 1740357326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740357326 |
Entity Type | Individual |
Full Name | GEOFFREY A GADOW |
Credential | MA |
Practice Address |
1550 S Main St Mansfield PA 16933-9586 |
Mailing Address |
113 Hickey Rd Wellsboro PA 16901-8116 |
Practice Telephone | 5706627954 |
Mailing Telephone | 7153141032 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
PC012350 | PA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
CC4468 | ME | Behavioral Health & Social Service Providers |
Street Address |
1550 S MAIN ST |
City | MANSFIELD |
State | PA |
Zip Code | 16933-9586 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
Find all providers in zip 16933 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592375 | Leonard Lamount Robinson | Counselor | 545 Bailey Dr, Mansfield, OH 44904-1801 | 2020-06-09 |
1770136921 | Cory Baker | Counselor | 305 Regency Pkwy Ste 601, Mansfield, TX 76063-7306 | 2019-07-17 |
1790256097 | Alice Elizabeth Ward | Counselor | 104 South Wisteria Street, Mansfield, TX 76063 | 2018-12-12 |
1891275939 | Mone't Smith | Counselor | 3251 Matlock Rd Apt 17204, Mansfield, TX 76063-5079 | 2018-08-17 |
1184117806 | Tiffanie Marquita Bembry | Counselor | 370 N State Highway 360 Apt 5207, Mansfield, TX 76063-9029 | 2018-06-07 |
1992207054 | Pediatric Counseling of Mansfield | Counselor | 404 E Broad St Ste 200, Mansfield, TX 76063-1728 | 2018-03-05 |
1407360787 | Dorothy Firth Smith | Counselor | 1285 N Main St Ste 101, Mansfield, TX 76063-1511 | 2017-11-26 |
1598275315 | Tina Marie Cole | Counselor | 63 3rd St Ste 103, Mansfield, PA 16933-1262 | 2017-10-06 |
1770093718 | Diana Gale Ham | Counselor | 1800 E Broad St, Annex C, Mansfield, TX 76063-3411 | 2017-10-04 |
1093238313 | Cara Pruitt | Counselor | 601 Strada Cir, Mansfield, TX 76063-3212 | 2017-07-18 |
Find all providers in MANSFIELD |
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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.