MR. IVAN S ZOOK (NPI# 1932112489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932112489 |
| Entity Type | Individual |
| Full Name | MR. IVAN S ZOOK |
| Credential | MS |
| Practice Address |
3400 Rutherford St Harrisburg PA 17111-1851 |
| Practice Telephone | 7175642203 |
| Practice Fax Number | 7179095182 |
| Mailing Telephone | 7175642203 |
| Mailing Fax Number | 7179095182 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
007029 | PA | Behavioral Health & Social Service Providers |
| Street Address |
3400 RUTHERFORD ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500479 | Yin Lin | Psychologist | 2595 Interstate Dr Suite 103, Harrisburg, PA 11710 | 2018-03-01 |
| 1790115491 | Jessica Leigh Taylor | Psychologist | 2601 Herr St, Harrisburg, PA 17103 | 2013-11-15 |
| 1295089613 | Sasha Mondragon | Psychologist | 2595 Interstate Dr, Ste 103, Medop Behavioral Health Associates of Pennsylvania PC, Harrisburg, PA 17110-9380 | 2012-11-07 |
| 1154627560 | Sunrise Psychological Services LLC | Psychologist | 5922 Linglestown Rd, 1st Floor, Harrisburg, PA 17112-1149 | 2011-02-02 |
| 1346540770 | Masami Junod | Psychologist | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2010-11-02 |
| 1417261694 | Crissy Tamiko Miyake | Psychologist | 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 | 2010-07-30 |
| 1861414369 | Riegler Shienvold & Associates | Psychologist | 2151 Linglestown Road, Suite 200, Harrisburg, PA 17110 | 2006-07-24 |
| 1447280201 | Patrick Rieker | Psychologist | 5351 Jaycee Ave # C, Suite #1, Harrisburg, PA 17112-2938 | 2006-07-04 |
| 1093776270 | Janet K. Kelley | Psychologist | 2101 N Front St, Harrisburg, PA 17110-1086 | 2006-03-29 |
| 1619441862 | Shawn Kelly Pritchett | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2019-01-21 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on MR. IVAN S ZOOK.
| 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.