MICHAEL CHESTER BUONOMO (NPI# 1992705917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992705917 |
| Entity Type | Individual |
| Full Name | MICHAEL CHESTER BUONOMO |
| Credential | MA |
| Practice Address |
5781 Glen Oaks Dr Narvon PA 17555-9450 |
| Practice Telephone | 7177684603 |
| Practice Fax Number | 7177684604 |
| Mailing Telephone | 7177684603 |
| Mailing Fax Number | 7177684604 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2007-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | PS-005959-L | PA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PS-005959-L | PA | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
PS005959-L | PA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PS-005959-L | PA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PS-005959-L | PA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS-005959- | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS-005959-L | PA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PS-005959- | PA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS-005959-L | PA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PS-005959-L | PA | Behavioral Health & Social Service Providers |
| N | 302F00000X | Exclusive Provider Organization | PS-005959- | PA | Managed Care Organizations |
| N | 302R00000X | Health Maintenance Organization | PS-005959- | PA | Managed Care Organizations |
| N | 305R00000X | Preferred Provider Organization | PS-005959- | PA | Managed Care Organizations |
| N | 305S00000X | Point of Service | PS-005959- | PA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BS | BU76559 | 01 |
| PA | AETNA | 0007133457 | 01 |
| PA | 1000037020001 | 05 | |
| PA | MHN | 335793 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194068080 | Michael Angelo Buonomo I | Counselor | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776 | 2013-03-29 |
| Street Address |
5781 GLEN OAKS DR |
| City | NARVON |
| State | PA |
| Zip Code | 17555-9450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164548962 | Ruth Agnes Daughenbaugh | Occupational Therapist | Zerbe Sister Nursing and Rehab Center, 2499 Zerbe Road, Narvon, PA 17555 | 2007-03-22 |
| 1356984629 | Amy Epting | Dietitian, Registered | 2485 Zerbe Rd, Narvon, PA 17555-9328 | 2019-10-19 |
| 1417937624 | Zerbe Sisters Nursing Center, Inc. | Assisted Living Facility | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2006-01-23 |
| 1205316676 | Kristin Wagner | Speech-Language Pathologist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2018-08-15 |
| 1801342837 | Rebecca Kirk | Physical Therapist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2016-08-30 |
| 1538612130 | Christopher Michael Walters | Occupational Therapist | 2499 Zerbe Rd, Attn: Therapy Dept, Narvon, PA 17555-9328 | 2016-07-31 |
| 1154734408 | Gec Narvon Management, LLC | Skilled Nursing Facility | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2014-06-04 |
| 1164648234 | Jennifer Frances Stover | Physical Therapist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2007-04-17 |
| 1215050950 | Geraldine Ann Higgins | Physical Therapist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2007-04-09 |
| 1245356047 | Delores Marie Miller | Physical Therapy Assistant | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2007-03-22 |
| Find all providers in zip 17555 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
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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.