JOHN BASAL (NPI# 1043256480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043256480 |
| Entity Type | Individual |
| Full Name | JOHN BASAL |
| Credential | PH.D. |
| Practice Address |
780 Albany Shaker Rd Albany NY 12211-1055 |
| Mailing Address |
1 Old Country Rd Suite 271 Carle Place NY 11514-1801 |
| Practice Telephone | 5188692231 |
| Practice Fax Number | 5188691713 |
| Mailing Telephone | 8007256280 |
| Mailing Fax Number | 8007256380 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
06871-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00737393 | 05 |
| Street Address |
780 ALBANY SHAKER RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12211-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309536 | Albany County | Skilled Nursing Facility | 780 Albany Shaker Rd, Albany, NY 12211-1058 | 2005-07-08 |
| 1326524331 | Anthony Jones Md | Skilled Nursing Facility | 780 Albany Shaker Rd, Albany, NY 12211 | 2018-07-12 |
| 1801815915 | Albany County Nursing Home | Skilled Nursing Facility | 780 Albany Shaker Rd, Albany, NY 12211-1055 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086260 | Karen E Canniff | Nurse Practitioner | 7 Southwoods, Blvdcapital Cardiology Associates, PC, Albany, NY 12211 | 2017-07-25 |
| 1881931335 | Arvinder Singh | Anesthesiology | 12 Fenway Drive, Albany, NY 12211 | 2013-01-03 |
| 1174795694 | Quik Flight | Ambulance | 16 Jetway Drive, Albany, NY 12211 | 2008-03-25 |
| 1164543732 | Judith C Tate | Psychologist | 46 Green Meadows Lane, Loudonville, NY 12211 | 2007-04-02 |
| 1942305776 | Christopher J Lyons | Dentist | 476 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-14 |
| 1831293562 | Antonio Boncordo | Dentist | 515 1/2 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-12 |
| 1417060575 | Laura Rodolakis | Nurse Practitioner | Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 | 2006-08-15 |
| 1134753577 | Alexandra K Drzymalski | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2020-02-25 |
| 1679122782 | Alyssa Hare | Physician Assistant | 7 Southwoods Blvd, Albany, NY 12211 | 2019-09-11 |
| 1568928737 | Rebecca Lynn Stiles | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2019-02-13 |
| Find all providers in zip 12211 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867314 | Sheri Lynn Mainquist | Psychologist | 850 Stannage Ave Apt 5, Albany, CA 94706-1642 | 2020-06-25 |
| 1528687399 | Rachel Magin | Psychologist | 2 Clara Barton Dr # Mc164, Albany, NY 12208-3472 | 2020-04-13 |
| 1346707270 | Matthew Golley | Psychologist | Samuel S. Stratton Vamc, 113 Holland Avenue, Albany, NY 12208 | 2019-02-27 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1013417286 | Linda Renee Bockheim | Psychologist | 425 2nd Ave Sw Ste 204, Albany, OR 97321-2485 | 2018-02-14 |
| 1700384468 | G.h. Wilber, Psy.d., Pllc | Psychologist | 5 Pine West Plz Ste 511, Albany, NY 12205-5587 | 2018-01-29 |
| 1447775200 | Heidi Rochelle Wright | Psychologist | 1365 Washington Ave Ste 102a, Albany, NY 12206-1098 | 2017-08-13 |
| 1366995508 | Supriya Blair | Psychologist | 1 Ten Broeck St Ste 1, Albany, NY 12210-2521 | 2016-07-24 |
| 1225411341 | Bradley Biggsphd Psychologist P.C. | Psychologist | 142 N Allen St, Suite C, Albany, NY 12206-1700 | 2015-07-07 |
| 1215339171 | Mary Kathleen O'neill | Psychologist | 314 South Manning Blvd., Albany, NY 12208 | 2014-09-23 |
| Find all providers in ALBANY | ||||
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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.