S.T.a.R. Sexual Trauma and Recovery Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

234321 Issued in PA

Legal business name

S.T.A.R. SEXUAL TRAUMA AND RECOVERY INC.

Practice address

300 E Lancaster Ave
Suite 315
Wynnewood, PA 19096-2139

Phone

(610) 658-2737

Fax

(610) 658-2739

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Hanson Lewis, M.A.

Title

Business Manager

Phone

(610) 658-2737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Daniel Alan Breglia, PSYD

  • Clinical Psychologist
  • Wynnewood, PA
  • NPI 1134455264
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053409656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE",
            "address_2": "SUITE 315",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962139",
            "telephone_number": "610-658-2737",
            "fax_number": "610-658-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE",
            "address_2": "SUITE 315",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962139",
            "telephone_number": "610-658-2737",
            "fax_number": "610-658-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.A.R. SEXUAL TRAUMA AND RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HANSON",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-658-2737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "234321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell E Phillips MD LLC
• Russell E. Phillips, M.D., P.C.
• Eric Marc Russell, DO
• W Randall Russell, M.D.
• Nancy C Rutherford, NURSE PRACTITIONER
• Emily Sabato, D.O.
• Arvind Sabesan
• Jennifer Sabol, M.D.
• Anna Rose Saccarelli Gibbins, MS, RD, LDN
• Shaan Sadiq

• Mental Health Counselor in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.