Collins, Collins, & Tavormina

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-005358-L Issued in PA

Legal business name

COLLINS, COLLINS, & TAVORMINA

Practice address

19 S 6TH St
Stroudsburg, PA 18360-2001

Phone

(570) 424-5477

Fax

(570) 424-5311

NPI assigned

Dec 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Michael Collins, PH.D.

Title

Clinical Director

Phone

(570) 424-5477

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Ann Tavormina, L.C.S.W.

  • Clinical Social Worker
  • Stroudsburg, PA
  • NPI 1700927738
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1003098732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S 6TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602001",
            "telephone_number": "570-424-5477",
            "fax_number": "570-424-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S 6TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602001",
            "telephone_number": "570-424-5477",
            "fax_number": "570-424-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS, COLLINS, & TAVORMINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "570-424-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-005358-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Clark
• Amanda Jean Clauser, M.S. CCC-SLP
• Clear Mountain, LLC
• Tracy Ann Cocuzzo, B.S.
• Jennifer Wood Collier, LSW
• Kimberly Collins
• Shayn Collins, MD
• Colonial Intermediate Unit 20
• Community Birth Group
• Community Resource Nurse Practitioners, LLC

• Psychologist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.