SAMANTHA ROBIN WERTHEIMER (NPI# 1871992578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871992578 |
| Entity Type | Individual |
| Full Name | SAMANTHA ROBIN WERTHEIMER |
| Credential | PSYD. |
| Practice Address |
1202 Ash Lane Lebanon PA 17042-9626 |
| Practice Telephone | 2157922323 |
| Mailing Telephone | 2157922323 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS019119 | PA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS019119 | Behavioral Health & Social Service Providers | |
| N | 103TF0000X |
Psychologist Specialization: Family |
PS019119 | Behavioral Health & Social Service Providers |
| Street Address |
1202 ASH LANE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821294 | William D. Campagna | Psychologist | 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 | 2018-05-15 |
| 1881196376 | Allied Health Professionals | Psychologist | 3056 Horn Springs Road, Lebanon, TX 37087-1953 | 2018-03-01 |
| 1972904894 | Mujgan Inciler | Psychologist | 5787 State Route 63, C/o Wci, Lebanon, OH 45036 | 2014-09-10 |
| 1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
| 1104048727 | Paul J Walker Sr. | Psychologist | 5787 St Route 63, Lebanon, OH 45036 | 2007-05-03 |
| 1235274275 | John Tilghman Hower | Psychologist | 195 N Cornwall Rd E, Lebanon, PA 17042-9014 | 2007-02-20 |
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1578645974 | Georgette Ventura | Psychologist | 511 Noble St, Lebanon, PA 17042-6322 | 2006-10-19 |
| 1205847837 | Diane P Hoover | Psychologist | 1700 South Lincoln Ave (690), Lebanon, PA 17042 | 2006-08-10 |
| 1528098456 | Moira P Ripley | Psychologist | 1 Court St, Suite 330, Lebanon, NH 03766-1358 | 2006-07-04 |
| Find all providers in LEBANON | ||||
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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.