COMMONWEALTH CLINICAL GROUP, INC. (NPI# 1750706198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750706198 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH CLINICAL GROUP, INC. |
| Practice Address |
479 Thomas Jones Way Suite 100 Exton PA 19341-2580 |
| Mailing Address |
41 E Orange St Lancaster PA 17602-2846 |
| Practice Telephone | 4848796751 |
| Practice Fax Number | 4848796759 |
| Mailing Telephone | 7173933900 |
| Mailing Fax Number | 7173937900 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | CATHERINE A. DEGUIRE (CEO) |
| Authorized Official Telephone | 7173933900 |
| Authorized Official Credential | MS, JD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 326900 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102233443 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278509 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 1 E Market St Ste 402, York, PA 17401-1611 | 2019-07-25 |
| 1144465899 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 2444 N 3rd St, Harrisburg, PA 17110-1901 | 2008-12-10 |
| 1437394186 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 1 E Market St Ste 104, York, PA 17401-1618 | 2008-12-10 |
| 1023267473 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 41 E Orange St, Lancaster, PA 17602-2846 | 2008-09-10 |
| 1144845231 | Commonwealth Clinical Group, Inc. | Clinic/Center | 450 S 5th St, Reading, PA 19602-2642 | 2020-06-15 |
| 1013530898 | Commonwealth Clinical Group, Inc. | Clinic/Center | 479 Thomas Jones Way Ste 100, Exton, PA 19341-2585 | 2020-05-27 |
| 1215558382 | Commonwealth Clinical Group, Inc. | Clinic/Center | 41 E Orange St, Lancaster, PA 17602-2846 | 2020-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH CLINICAL GROUP, INC. | 41 E Orange St, Lancaster, PA 17602-2846 |
| Street Address |
479 THOMAS JONES WAY SUITE 100 |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718017 | Christopher Joseph Lyons | Orthopaedic Surgery | 479 Thomas Jones Way, Ste 300, Exton, PA 19341-2580 | 2005-05-23 |
| 1194269811 | Kara Savastio | Social Worker | 479 Thomas Jones Way, Suite 100, Exton, PA 19341-2580 | 2016-12-14 |
| 1376085894 | Jeanette Desilva | Counselor | 479 Thomas Jones Way, 800, Exton, PA 19341-2580 | 2016-11-15 |
| 1528458494 | Kelly Mcguigan | Counselor | 479 Thomas Jones Way, Suite 800, Exton, PA 19341-2580 | 2015-01-30 |
| 1639568199 | Main Line Health | Community/Behavioral Health | 479 Thomas Jones Way, Exton, PA 19341-2580 | 2015-01-21 |
| 1336540137 | Lauren Emery | Counselor | 479 Thomas Jones Way, Suite 800, Exton, PA 19341-2580 | 2014-09-11 |
| 1235548637 | Katharine Neider | Counselor | 479 Thomas Jones Way, Exton, PA 19341 | 2014-08-11 |
| 1245658996 | Center for Addictive Diseases | Community/Behavioral Health | 479 Thomas Jones Way, Exton, PA 19341-2580 | 2014-03-31 |
| 1356777353 | Theresa Ann Shafer | Physician Assistant | 479 Thomas Jones Way, Suite 300, Exton, PA 19341 | 2013-09-23 |
| 1609214741 | Willaim Robert Broomall | Counselor | 479 Thomas Jones Way, Suite 800, Exton, PA 19341-2580 | 2013-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505258 | Penn Foundation Inc | Community/Behavioral Health | 403a Gordon Dr, Exton, PA 19341-1249 | 2019-06-05 |
| 1093180937 | Positive Supports | Community/Behavioral Health | 109 Conway Ct, Exton, PA 19341-2913 | 2015-12-03 |
| 1376783290 | Holcomb Associates, Inc. | Community/Behavioral Health | 469 Creamery Way, Oakland Corporate Center, Exton, PA 19341-2546 | 2009-03-05 |
| 1083670590 | Holcomb Associates, Inc. | Community/Behavioral Health | 467 Creamery Way, Exton, PA 19341-2508 | 2006-04-24 |
| 1770194029 | Stephen Douglas Bennett | Community/Behavioral Health | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2020-08-11 |
| 1124480926 | Creative Counseling and Wellness LLC | Community/Behavioral Health | 47 Marchwood Rd, Suite 2a-8, Exton, PA 19341-1835 | 2016-03-22 |
| 1932580651 | Holcomb Behavioral Health | Community/Behavioral Health | 467 Creamery Way, Exton, PA 19341-2508 | 2015-06-18 |
| 1639568199 | Main Line Health | Community/Behavioral Health | 479 Thomas Jones Way, Exton, PA 19341-2580 | 2015-01-21 |
| 1245658996 | Center for Addictive Diseases | Community/Behavioral Health | 479 Thomas Jones Way, Exton, PA 19341-2580 | 2014-03-31 |
| 1265688188 | Main Line Rehabilitation Associates | Community/Behavioral Health | 668 Exton Cmns, Exton, PA 19341-2446 | 2008-08-12 |
| Find all providers in EXTON | ||||
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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.