MISS MELISSA A GENN (NPI# 1902394299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902394299 |
| Entity Type | Individual |
| Full Name | MISS MELISSA A GENN |
| Credential | MS, LBS |
| Practice Address |
6122 Ridge Ave Philadelphia PA 19128-1603 |
| Mailing Address |
4270 Morris Rd Hatboro PA 19040-2513 |
| Practice Telephone | 2154871330 |
| Mailing Telephone | 2674078282 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
6122 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865382 | Michael Patrick Gray | Psychologist | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2006-11-09 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1700439171 | Antoinette Rosa Jackson (aziz) | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2019-07-24 |
| 1013486463 | Danielle Elizabeth Tucci | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-11-15 |
| 1760960777 | Jonathan Everett Mauger | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-08-01 |
| 1205326089 | Paige Anne Martin | Student in an Organized Health Care Education/Training Program | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-16 |
| 1255821658 | Katherine J. Homa | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-11 |
| 1558850008 | Joclyn Rae Malys | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-09 |
| 1750870218 | Ashley M Smith | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-09 |
| 1215425970 | Samantha Ann Algauer | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| 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 | 19128 |
Please comment or provide details below to improve the information on MISS MELISSA A GENN.
| 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.