MR. JOHN P. SIDLER (NPI# 1992877831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877831 |
| Entity Type | Individual |
| Full Name | MR. JOHN P. SIDLER |
| Credential | MS |
| Practice Address |
1 Kelley Dr Coal Township PA 17866-1020 |
| Mailing Address |
54 Courtland Road Shamokin Dam PA 17876 |
| Practice Telephone | 5706447890 |
| Mailing Telephone | 5707431059 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS-006954-L | PA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PS-006954-L | PA | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PS-006954-L | PA | Behavioral Health & Social Service Providers |
| Street Address |
1 KELLEY DR |
| City | COAL TOWNSHIP |
| State | PA |
| Zip Code | 17866-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689098931 | Nicholle Boguslaw | Physician Assistant | 1 Kelley Dr, Coal Township, PA 17866-1020 | 2014-02-06 |
| 1609017540 | Edward George Crosby | Psychologist | 1 Kelley Dr, 1 Kelley Drive, Coal Township, PA 17866-1020 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248955 | Derek Hunt | Pharmacist | 9300 Route 61 S, Coal Township, PA 17866 | 2020-09-01 |
| 1609358456 | Gaudenzia Inc | Clinic/Center | 500 Northumberland, Coal Township, PA 17866 | 2018-08-29 |
| 1639409105 | Merakey Pennsylvania | Case Management | 3800 State Road Route 61, Coal Township, PA 17866 | 2010-01-06 |
| 1265607097 | Francis T Oneill Jr. | Pharmacist | 3300 Rt 61 South, Coal Township, PA 17866 | 2008-04-23 |
| 1962677799 | Jill Marie Bordell | Pharmacist | 3300 Route 61 South, Coal Township, PA 17866 | 2008-04-23 |
| 1962585414 | Michael A. Scicchitano | Emergency Medicine | 1600 Hospital Road, Shamokin Area Community Hospital, Coal Township, PA 17866 | 2006-10-20 |
| 1447246418 | Fairview Fire Co 1 | Ambulance | 1101 W Pine St, Coal Twp, PA 17866 | 2005-09-23 |
| 1205833787 | M Nayeem Akhtar | Internal Medicine | 4200 Hospital Rd., Coal Township, PA 17866 | 2005-06-30 |
| 1104209147 | Vishnu Teja Kommineni | Hospitalist | 4200 Hospital Rd, Rm 396, Coal Township, PA 17866 | 2015-07-08 |
| 1942476296 | Jennifer B Klinger | Pharmacist | 3300 Route 61 South, Coal Township, PA 17866 | 2008-05-07 |
| Find all providers in zip 17866 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416959 | Ronald Dean | Psychologist | 1706 Golden Mile Road, Wysox, PA 18854-7708 | 2020-10-29 |
| 1215594460 | Neil Patrick Jones | Psychologist | 121 Meyran Ave Bldg Rm323, Pittsburgh, PA 15213-3308 | 2019-05-23 |
| 1962981860 | Ocd Spectrum, Inc | Psychologist | 307 4th Ave Ste 1100, Pittsburgh, PA 15222-2107 | 2018-08-10 |
| 1588143770 | Troy Psychological Services, Pllc | Psychologist | 122 Elmira St., Suite B, Troy, PA 16947-1202 | 2018-08-09 |
| 1326540592 | Julia West Phd LLC | Psychologist | 1005 Brookside Rd Ste 130, Allentown, PA 18106-9023 | 2018-03-05 |
| 1053848580 | Ronald Daniels | Psychologist | 2570 Terraced Hill Ct, Pottstown, PA 19464-3146 | 2017-05-15 |
| 1376088591 | Diane Jarin | Psychologist | 1528 Montgomery Ave, Bryn Mawr, PA 19010-1658 | 2016-12-23 |
| 1427412170 | James M Mcfalls | Psychologist | 212 Idris Rd, C-2, Merion Station, PA 19066-1633 | 2016-04-08 |
| 1598134231 | Lidia Estrada Cordero | Psychologist | 2817 Fairview St, Bethlehem, PA 18020-5505 | 2015-09-23 |
| 1568841187 | Elizabeth Turner Stinson | Psychologist | 37 S. Clinton St., Doylestown, PA 18901 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
| City | COAL TOWNSHIP |
| Zip Code | 17866 |
Please comment or provide details below to improve the information on MR. JOHN P. SIDLER.
| 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.