SENIOR CONNECTIONS PSYCHOLOGICAL SERVICES OF NEW YORK, PC (NPI# 1033382601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033382601 |
| Entity Type | Organization |
| Organization Name | SENIOR CONNECTIONS PSYCHOLOGICAL SERVICES OF NEW YORK, PC |
| Practice Address |
256 Sunset Lake Rd Liberty NY 12754-2847 |
| Mailing Address |
12012 Wickchester Ln Suite 550 Houston TX 77079-1229 |
| Practice Telephone | 8324482800 |
| Practice Fax Number | 8324482801 |
| Mailing Telephone | 8324482800 |
| Mailing Fax Number | 8324482801 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | DR. STEPHEN A DANIEL (OWNER) |
| Authorized Official Telephone | 8324482830 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02668179 | 05 |
| Street Address |
256 SUNSET LAKE RD |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316458904 | Susan Lee Madnick | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-23 |
| 1043721764 | Jenifer H Laymon | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-20 |
| 1750892584 | Susan Faith Furgison | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1114438934 | Kimberly T Neves | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1871004747 | Krystyna Barbara Potok | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1003327875 | Susan Southerton | Registered Nurse | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1669983532 | Suzanne B King | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1407367220 | Nichelle K Dewitt | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1134630056 | Wendy Cole-dean | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-18 |
| 1669983581 | John P Linen | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912190463 | Richard John Lindquist | Psychologist | 1617 Mason Hollow Rd, Liberty, TN 37095-9201 | 2007-08-18 |
| 1316098031 | Associates In Family Psychology, Inc. | Psychologist | 5 Westowne St., Ste 501, Liberty, MO 64068-3512 | 2007-01-16 |
| 1639221310 | Selina Sanchez | Psychologist | 10 Westowne St Ofc Park, Building 10, Liberty, MO 64068-1166 | 2007-01-16 |
| 1467528844 | Robert P Nussbaum | Psychologist | 59 N Main St Ste 201, Liberty, NY 12754-1888 | 2006-11-28 |
| 1225121023 | Paul L Smock | Psychologist | 134 N Water St, Liberty, MO 64068-1737 | 2006-10-02 |
| 1841381803 | Deanna Kraus Zeilmann | Psychologist | 1170 W Kansas St, Westowne Office Park, Building 10, Liberty, MO 64068-2036 | 2006-09-27 |
| 1790247765 | Calm Seas Psychotherapy, Lcsw,pllc | Psychologist | 155 N Main St, Liberty, NY 12754-1864 | 2019-04-01 |
| 1598002321 | Deanna K Zeilmann Psyd PC | Psychologist | 1170 W Kansas St, Building 10, Liberty, MO 64068-2036 | 2013-01-14 |
| 1235320003 | Smock & Associates, Inc. | Psychologist | 134 N Water St, Liberty, MO 64068-1737 | 2007-08-07 |
| 1720124597 | Rebecca Lynn Morris | Psychologist | 6 Victory Ln, Ste 120, Liberty, MO 64068 | 2007-01-29 |
| Find all providers in LIBERTY | ||||
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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.