DR. RYAN DANIEL MESHULAM (NPI# 1013200138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013200138 |
| Entity Type | Individual |
| Full Name | DR. RYAN DANIEL MESHULAM |
| Credential | M.D. |
| Practice Address |
147 Lake St Newburgh NY 12550 |
| Mailing Address |
1204 Darby Ln Indianapolis IN 46260-2813 |
| Practice Telephone | 8455638000 |
| Mailing Telephone | 3176900260 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01075474A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201300400 | 05 |
| Street Address |
147 LAKE ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301681 | Gbolagade O Babalola | Obstetrics & Gynecology | 147 Lake St, Newburgh, NY 12550-5263 | 2005-07-22 |
| 1780292037 | Mariana Dalecio Maeda | Optometrist | 147 Lake St, Newburgh, NY 12550-5263 | 2020-07-22 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1932744273 | Laura Cutolo | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-11-11 |
| 1578106019 | Julie Moreno-warburton | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-10-28 |
| 1891263919 | Lilia Watson | Nurse Practitioner | 147 Lake St, Newburgh, NY 12550-5263 | 2018-11-06 |
| 1548736408 | Yolanda Sanabria-rosado | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-10-18 |
| 1902380736 | Mildred Audrey Riley-channer | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-09-18 |
| 1427546431 | Ghazaleh Sayah | Dentist | 147 Lake St, Newburgh, NY 12550-5263 | 2018-04-25 |
| 1750802740 | Pedro Zuniga Domian | Pediatrics | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184180796 | Health Quest Medical Practice, PC | Psychiatry & Neurology | 313 S William St Ste 1, Newburgh, NY 12550-5300 | 2019-02-19 |
| 1306919337 | Constantine B Vardopoulos | Psychiatry & Neurology | 141 Dogwood Ln, Newburgh, NY 12550-2027 | 2006-11-16 |
| 1679668719 | Naeem Aftab | Psychiatry & Neurology | 3 Winding Lane, Newburgh, NY 12550 | 2006-10-04 |
| 1558455832 | Todd Alvin Rochman | Psychiatry & Neurology | 400 Stony Brook Ct 1, Newburgh, NY 12550-6522 | 2006-10-03 |
| 1568430262 | Michael Edward Doyle | Psychiatry & Neurology | 70 Dubois St, 5th Floor, St. Luke's Cornwall Hospital, Newburgh, NY 12550 | 2006-03-09 |
| 1699764647 | Martin Sloane Wolfson | Psychiatry & Neurology | 141 Broadway, Newburgh, NY 12550 | 2005-10-20 |
| 1235360058 | Michael Arisa | Psychiatry & Neurology | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-07-28 |
| 1801055041 | Lavinia E. Park | Psychiatry & Neurology | 141 Broadway, Newburgh, NY 12550-6204 | 2008-06-03 |
| 1053454413 | Louis Byron Cady | Psychiatry & Neurology | 4727 Rosebud Ln, Suite F, Newburgh, IN 47630-9225 | 2007-02-15 |
| 1295875714 | Salil Kathpalia | Psychiatry & Neurology | 633 Gidney Ave, Ste 5, Newburgh, NY 12550-2805 | 2007-02-07 |
| Find all providers in NEWBURGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.