STEPHANIE CACERES (NPI# 1033751797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033751797 |
| Entity Type | Individual |
| Full Name | STEPHANIE CACERES |
| Credential | MHC |
| Practice Address |
113 Glen Cove Ave Glen Cove NY 11542-3438 |
| Practice Telephone | 5166762388 |
| Practice Fax Number | 5167595259 |
| Mailing Telephone | 5166762388 |
| Mailing Fax Number | 5167595259 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NY | Behavioral Health & Social Service Providers |
| Street Address |
113 GLEN COVE AVE |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308190 | Daniel Giedt | Nurse Practitioner | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2006-10-11 |
| 1245858570 | Anne Castelluzzo | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-13 |
| 1386262384 | Elizabeth Borriello | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-07 |
| 1225654239 | Brandi Merryl Bell | Social Worker | 113 Glen Cove Ave, Glen Cove, NY 11542 | 2020-06-25 |
| 1346862968 | Jessica Ancona-neis | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-05-18 |
| 1124660782 | Doris Wade | Licensed Practical Nurse | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1023650686 | Ashley Mccusker | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1770133050 | Anna-karin Demirciyan | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| 1871143149 | Christine Bell | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| 1659920445 | Edward Meyer | Social Worker | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307044 | Vanessa Bellocco | Counselor | 2 Sands Rd, Glen Cove, NY 11542-4020 | 2014-04-28 |
| 1902038995 | Katherine Pellerito | Counselor | 7 Delamar Ct, Glen Cove, NY 11542-1792 | 2009-08-10 |
| 1467654947 | Paul Robert Thurman | Counselor | 17 Hammond Rd, Upstairs, Glen Cove, NY 11542-3415 | 2007-06-05 |
| 1235347931 | Gabriela R Weinberg-gitlin | Counselor | 8 High Pne, Glen Cove, NY 11542-1422 | 2007-05-18 |
| 1225245608 | Aileen Robin Gould | Counselor | 21 Mcloughlin St, Apt. B, Glen Cove, NY 11542-1703 | 2007-05-17 |
| 1568527232 | Charles Brody | Counselor | 10 Norman Ct, Glen Cove, NY 11542-1529 | 2006-12-23 |
| 1245858570 | Anne Castelluzzo | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-13 |
| 1023650686 | Ashley Mccusker | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1770133050 | Anna-karin Demirciyan | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| 1922652502 | Lindsay G Garelick | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-07-31 |
| Find all providers in GLEN COVE | ||||
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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.