Paul Mazeroff, ED.D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS008389L Issued in PA

Practice address

625 W. Elm Avenue
Hanover, PA 17331

Phone

(717) 632-4900

Fax

(717) 632-4313

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1912013509
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154413144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W. ELM AVENUE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W. ELM AVENUE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZEROFF",
        "first_name": "PAUL",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS008389L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007446410021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damian Maust
• Walter Elton Maust Jr., D.M.D.
• Jim Maxka, DPM
• May Eye Care PC
• Carl J May Jr., MD
• Tracey Mazeska, OTR/L
• Winsor Clayton McBeth, PA-C
• Matthew James McCarl, D.O.
• Alice Quintin McCullough, MD
• William Richard McDermott, CRNP

• Counseling Psychologist in Hanover, PA
• Providers in Hanover, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.