Jeremiah Hicks (NPI# 1477890382, PAC ID# 6406120120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1477890382 |
| PAC ID by PECOS | 6406120120 |
| Professional Enrollment ID | I20171122000322 |
| Full Name | Jeremiah Hicks |
| Organization Legal Name | CENTRE PSYCHOLOGY GROUP |
| Address |
1993 Cato Ave State College PA 16801-2754 |
| Phone Number | 8142318820 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4082652698 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1993 Cato Ave, State College, PA 16801-2754 | 8142318820 | CENTRE PSYCHOLOGY GROUP |
| Organization Legal Name | CENTRE PSYCHOLOGY GROUP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Gay Powell | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Khytam Dawood | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Nancy C Van Saun | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Michael M Keil | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Leta F Myers | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Street Address |
1993 CATO AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip | 16801-2754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Gay Powell | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Khytam Dawood | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Nancy C Van Saun | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Michael M Keil | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Leta F Myers | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Flick | Physical Therapy | 2766 W College Ave, Suite 300, State College, PA 16801-2647 | |
| Gregory A Edwards | Chiropractic | 2766 W College Ave, Suite 200, State College, PA 16801-2647 | |
| Sharon L Pletcher | Podiatry | Sharon L. Pletcher, P.C., Inc | 1318 W College Ave, Family Foot Center, State College, PA 16801-2711 |
| Craig D Brummert | Chiropractic | 3051 Enterprise Dr, State College, PA 16801-2756 | |
| Rhonda M Ross | Clinical Social Worker | 2017 Cato Ave, Suite 101, State College, PA 16801-2765 | |
| Katherine J Gates Moore | Clinical Social Worker | 2023 Cato Ave, Suite 101, State College, PA 16801-2765 | |
| John Iverson Boswell Iii | Psychiatry | 1315 W College Ave, Suite 303, State College, PA 16801-2776 | |
| Larry J Assalita | Podiatry | Gary A Raymond Dpm PC | 2590 Park Ctr Blvd, State College, PA 16801-2799 |
| Joel L Harris | Psychologist, Clinical | 925 W College Ave, State College, PA 16801-2804 | |
| John L Scipione | Chiropractic | 905 W Beaver Ave, State College Famiily Chiro Ctr, State College, PA 16801-2811 | |
| Find all physicians in zip 16801 | |||
| City | STATE COLLEGE |
| Zip Code | 16801 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | STATE COLLEGE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jeremiah Hicks.
| 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.