STEWART HOCKENBERRY (NPI# 1881750271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881750271 |
| Entity Type | Individual |
| Full Name | STEWART HOCKENBERRY |
| Credential | PH.D. |
| Practice Address |
255 S 17th St Ste 1909 Philadelphia PA 19103-6219 |
| Mailing Address |
409 Carlton Ave Wyncote PA 19095-2015 |
| Practice Telephone | 2155761728 |
| Practice Fax Number | 2155761728 |
| Mailing Telephone | 2155761728 |
| Mailing Fax Number | 2155761728 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS008448L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | H0122450 | 01 |
| PA | PERSONAL CHOICE PROVIDER | 0102891000 | 01 |
| PA | AETNA HEALTH CARE | 7543181 | 01 |
| PA | VALUE OPTIONS | 158128 | 01 |
| PA | MANAGED HEALTH NETWORK | 243596 | 01 |
| Street Address |
255 S 17TH ST STE 1909 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841758497 | Asp Therapy LLC | Community/Behavioral Health | 255 S 17th St Ste 1909, Philadelphia, PA 19103-6219 | 2019-03-02 |
| 1588122139 | Ari Steven Pizer | Psychologist | 255 S 17th St Ste 1909, Philadelphia, PA 19103-6219 | 2019-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
| 1467935874 | Michael Sturgis | Psychologist | 2701 E Country Club Rd, Philadelphia, PA 19131-2831 | 2018-09-11 |
| 1831548726 | Laurene Finley | Psychologist | 2122 N 18th St, 2nd Floor, Philadelphia, PA 19121-1623 | 2016-06-10 |
| 1740655851 | Sonya Lalisse Lott | Psychologist | 607 E Sedgwick St, Philadelphia, PA 19119-1329 | 2015-12-01 |
| 1437587565 | Attune Therapy Group PC | Psychologist | 132 S 17th St, 3rd Floor, Philadelphia, PA 19103 | 2013-10-29 |
| 1568643070 | Paul Richard Linder | Psychologist | 8423 Ridgeway St, Philadelphia, PA 19111-1356 | 2007-11-27 |
| 1972783256 | Reginald Banks | Psychologist | 4232 Parkside Ave, Philadelphia, PA 19104-1021 | 2007-11-05 |
| 1588843429 | Eric Baron Spiegel | Psychologist | 132 S 17th St Fl 3, Philadelphia, PA 19103 | 2007-10-28 |
| 1679783153 | Edward George Daniels | Psychologist | 530 S 2nd St, Suite 737, Philadelphia, PA 19147-2420 | 2007-05-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on STEWART HOCKENBERRY.
| 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.