Robert Lawrence Mailliard (NPI# 1487852935, PAC ID# 2769573286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1487852935 |
| PAC ID by PECOS | 2769573286 |
| Professional Enrollment ID | I20070911000083 |
| Full Name | Robert Lawrence Mailliard |
| Organization Legal Name | NORTHSHORE PSYCHOLOGICAL ASSOCIATES, LLC |
| Address |
120 E 2nd St 3rd Floor Erie PA 16507-1578 |
| Phone Number | 8148774113 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0244133981 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390063 | UPMC HAMOT HOSPITAL |
| 390009 | SAINT VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 | 8148774113 | NORTHSHORE PSYCHOLOGICAL ASSOCIATES, LLC |
| Organization Legal Name | NORTHSHORE PSYCHOLOGICAL ASSOCIATES, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Troutner | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Jon Glass | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Donald Mcaleer | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Debra Thaler Gilroy | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Mark Hogue | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Michael P Schwabenbauer | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Tammy Lynn Kordes | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Elizabeth Marie Stroup | Clinical Social Worker | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Jacqueline Phillips | Clinical Psychologist | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Street Address |
120 E 2ND ST 3RD FLOOR |
| City | ERIE |
| State | PA |
| Zip | 16507-1578 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Pitchford | Physician Assistant | Regional Health Services Inc | 120 E 2nd St, Erie, PA 16507-1537 |
| Christine A Orzehowski | Nurse Practitioner | Regional Health Services Inc | 120 E 2nd St, Erie, PA 16507-1537 |
| Susan Troutner | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Peter M Vonkorff | Psychologist, Clinical | 120 E 2nd St, Suite 3, Erie, PA 16507-1578 | |
| Marissa L Niemi | Physician Assistant | Regional Health Services Inc | 120 E 2nd St, Erie, PA 16507-1537 |
| Lance A Besner | Psychiatry | 120 E 2nd St, Suite 348, Erie, PA 16507-1537 | |
| Benjamin D Kies | Physician Assistant | Regional Health Services Inc | 120 E 2nd St, Erie, PA 16507-1537 |
| Jon Glass | Psychologist, Clinical | Northshore Psychological Associates, LLC | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1578 |
| Trysha A Hopkins | Nurse Practitioner | Regional Health Services Inc | 120 E 2nd St, Erie, PA 16507-1537 |
| Stephanie L Janson Staib | Physician Assistant | Regional Health Services Inc | 120 E 2nd St, Erie, PA 16507-1537 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gautam P Patel | Diagnostic Radiology | 410 Cranberry St, Erie, PA 16507-1067 | |
| Gunnar Ernst Bergqvist | Plastic and Reconstructive Surgery | 410 Cranberry St, Suite 310, Erie, PA 16507-1069 | |
| Linda S May | Family Medicine | Regional Health Services Inc | 510 Cranberry St, Suite 200, Erie, PA 16507-1078 |
| Pamela S Beck | Family Medicine | Regional Health Services Inc | 510 Cranberry St, Suite 200, Erie, PA 16507-1078 |
| Paula J Young | Nurse Practitioner | Regional Health Services Inc | 510 Cranberry St, Suite 200, Erie, PA 16507-1078 |
| James C Lin | Geriatric Medicine | 406 Peach St, Erie, PA 16507-1417 | |
| Alyssa Kimmy | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia, Pennsylvania, LLC | 200 State St, Erie, PA 16507-1420 |
| Colleen M Rzomp | Nurse Practitioner | Regional Health Services Inc | 100 Peach St, Erie, PA 16507-1423 |
| Kim J Bennett | Certified Nurse Midwife (cnm) | Ob Gyn Associates of Erie PC | 100 Peach St, Suite 300, Erie, PA 16507-1423 |
| Jessica M Bourke | Physician Assistant | Regional Health Services Inc | 100 Peach St, Erie, PA 16507-1423 |
| Find all physicians in zip 16507 | |||
| City | ERIE |
| Zip Code | 16507 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ERIE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Robert Lawrence Mailliard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.