KELBERMAN CENTER, INC (NPI# 1023522521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023522521 |
| Entity Type | Organization |
| Organization Name | KELBERMAN CENTER, INC |
| Practice Address |
2608 Genesee St Utica NY 13502-6003 |
| Practice Telephone | 3157976421 |
| Practice Fax Number | 3157497054 |
| Mailing Telephone | 3157976241 |
| Mailing Fax Number | 3157947054 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | MARYANN FATATA (HEALTH MANAGEMENT SYSTEMS SPECIALIS) |
| Authorized Official Telephone | 3159272117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04587431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154779965 | Kelberman Center, Inc | Clinic/Center | 2608 Genesee St, Utica, NY 13502-6003 | 2016-06-02 |
| Street Address |
2608 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245507979 | Joshua D Gray | Social Worker | 2608 Genesee St, Utica, NY 13502-6003 | 2011-11-23 |
| 1154779965 | Kelberman Center, Inc | Clinic/Center | 2608 Genesee St, Utica, NY 13502-6003 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679716054 | Adhd & Autism Advocates | Psychologist | 258 Genesee St, Suite 505, Utica, NY 13502-4636 | 2009-04-14 |
| 1144276940 | Andy Lopez-williams | Psychologist | 122 Business Park Dr, Suite 1, Utica, NY 13502-6321 | 2006-05-25 |
| 1356333850 | Innerhealth Psychological Services | Psychologist | 1657 Sunset Ave, Utica, NY 13502-5415 | 2005-08-19 |
| 1649821182 | Irene Michele Zarr | Psychologist | 11111 Hall Rd Ste 303, Utica, MI 48317-5726 | 2019-09-26 |
| 1730739681 | Dennis Lalonde Jr. | Psychologist | 2626 Genesee St, Utica, NY 13502-6003 | 2019-09-12 |
| 1609319516 | Blerina Lumaj | Psychologist | 11111 Hall Rd, Utica, MI 48317-5711 | 2016-11-25 |
| 1982069985 | Wellness Psychological Services, P.C. | Psychologist | 2614 Genesee St, Utica, NY 13502-6003 | 2015-12-18 |
| 1043606213 | Edward Jackson | Psychologist | 11111 Hall Rd, #303, Utica, MI 48317-5711 | 2015-04-14 |
| 1902292675 | Robert Christman | Psychologist | 1612 Genesee St, Utica, NY 13502-5425 | 2015-04-09 |
| 1356735468 | Wentworth and Associates, P.C. | Psychologist | 11111 Hall Rd Ste 303, Utica, MI 48317-5726 | 2015-03-26 |
| Find all providers in UTICA | ||||
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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.