KIRSTIN ELLEN BRUNNER


Address: 1020 East 1oth Street, Erie, PA 16503-0002
Phone: 8144534309

KIRSTIN ELLEN BRUNNER (NPI# 1891776993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891776993
Entity Type Individual
Full Name KIRSTIN ELLEN BRUNNER
Credential DO
Practice Address 1020 East 1oth Street
Erie
PA 16503-0002
Mailing Address 5711 Luna Ln
Erie
PA 16506-4719
Practice Telephone 8144534309
Practice Fax Number 8144591191
Mailing Telephone 8144534309
Enumeration Date 2005-11-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
OS006234L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1696143 05

Office Location

Street Address 1020 EAST 1OTH STREET
City ERIE
State PA
Zip Code 16503-0002

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1952316705 Gage House, Lp Substance Abuse Rehabilitation Facility 1813 Holland Street, Erie, PA 16503 2006-07-30
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1528618956 Andrew John Kupniewski Specialist/Technologist 201 E 8th St, Erie, PA 16503-1003 2019-09-17
1710148598 Community of Caring Community/Behavioral Health 245 E 8th St, Erie, PA 16503-1003 2008-06-24
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497107205 David Figueroa Psychiatry & Neurology 4215 Ellsworth Ave, Erie, PA 16509-1054 2016-07-05
1245865815 Millcreek Community Hospital Psychiatry & Neurology 4740 Peach St, Erie, PA 16509-2008 2020-03-04
1861025058 Medical Associates of Erie Psychiatry & Neurology 537 W 18th St, Erie, PA 16502-1722 2020-02-17
1245742469 Lake Erie Behavioral Health, LLC Psychiatry & Neurology 3216 State St, Erie, PA 16508 2017-10-27
1831502160 Prianka Sinha Psychiatry & Neurology 5515 Peach St, Erie, PA 16509 2014-06-04
1174936504 Gianpiero Martone Psychiatry & Neurology 5535 Peach St, Erie, PA 16509-2603 2014-06-03
1114217270 Nichole Lee Sonderman Psychiatry & Neurology 900 State St, Suite 203b, Erie, PA 16501-1419 2011-04-11
1548281918 Max W Gottesman Psychiatry & Neurology 1910 Sassafras St, Behavioral Health Unit, Erie, PA 16502-2716 2006-07-21
1447279955 Lihui Tang Psychiatry & Neurology 232 W 25th St # 3r, Erie, PA 16544-1601 2006-07-18

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1255932174 Northeast Counseling Service Psychiatry & Neurology 85 S Old Turnpike Rd, Drums, PA 18222-1731 2020-11-06
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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
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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
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Competitor

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City ERIE
Zip Code 16503

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Dataset Information

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.

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