ANDREW SUNGDO SON (NPI# 1982219770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982219770 |
| Entity Type | Individual |
| Full Name | ANDREW SUNGDO SON |
| Practice Address |
400 Creekside Dr Pottstown PA 19464-9219 |
| Mailing Address |
1511 Rosewood Ct Pottstown PA 19464-9213 |
| Practice Telephone | 4849250990 |
| Mailing Telephone | 4846463305 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC012648 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS | PC012648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154684702 | Andrew K Son | General Acute Care Hospital | 800 Washington St, Boston, MA 02111-1552 | 2012-06-19 |
| 1265608996 | Andrew Son | Anesthesiology | 865 Stone St, Rahway, NJ 07065-2742 | 2008-05-02 |
| Street Address |
400 CREEKSIDE DR |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-9219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093746240 | Corinne A Mclaughlin | Social Worker | 400 Creekside Dr, Suite 403, Pottstown, PA 19464-9219 | 2006-07-05 |
| 1457779670 | Tim Molitor | Social Worker | 400 Creekside Dr, Pottstown, PA 19464-9219 | 2014-04-04 |
| 1528404134 | Holcomb Behavioral Health Systems | Clinic/Center | 400 Creekside Dr, Ste., 403, Pottstown, PA 19464-9219 | 2013-05-22 |
| 1578717666 | Stacy Caldwell | Social Worker | 400 Creekside Dr, Suite 403, Pottstown, PA 19464-9219 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003393521 | Danielle Marie White | Counselor | 11 Robinson St Ste 1, Pottstown, PA 19464-6421 | 2018-07-26 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1215486675 | Jannie Harrison | Counselor | 566 Walnut St, Pottstown, PA 19464-5626 | 2016-09-27 |
| 1720534035 | Lissa Elliott St.clair | Counselor | 12 Buckwalter Rd, Pottstown, PA 19465-9313 | 2016-08-27 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1225378599 | Calvin Roeder | Counselor | 993 Cherry Hill Ln, Pottstown, PA 19465-7847 | 2013-02-25 |
| 1285865303 | John Walter Applebach | Counselor | 431 E High St, 2nd Floor, Pottstown, PA 19464-5621 | 2009-08-06 |
| 1073125894 | Laura Ann Plummer | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-08-21 |
| 1497395834 | Shawanda Boone | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-01-14 |
| 1992345094 | Rachel Baker | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-01-07 |
| Find all providers in POTTSTOWN | ||||
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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.