ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC (NPI# 1053938837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053938837 |
Entity Type | Organization |
Organization Name | ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC |
Practice Address |
6800 Jericho Tpke Ste 120w Syosset NY 11791-4445 |
Practice Telephone | 5168352048 |
Mailing Telephone | 5168352048 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |
Authorized Official Name | JAY EVAN SAUL (MEMBER) |
Authorized Official Telephone | 5168352048 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC | 6800 Jericho Tpke., Ste 120w, Syosset, New York 11791 |
Street Address |
6800 JERICHO TPKE STE 120W |
City | SYOSSET |
State | NY |
Zip Code | 11791-4445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841400538 | Jay Evan Saul | Psychologist | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2007-05-23 |
1184224800 | Mariah Ashley Mcclinton | Occupational Therapist | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2020-10-30 |
1710591672 | Embrace Home Care Agency LLC | Home Health | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2020-09-08 |
1316550585 | Padma Bhudeo | Home Health Aide | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2020-08-28 |
1689294134 | Lauren Elizabeth Barrett | Occupational Therapy Assistant | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2020-04-24 |
1114551850 | Erin D Mcglew | Speech-Language Pathologist | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2020-03-02 |
1891335949 | Anju Anie Mathew | Occupational Therapist | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2020-01-07 |
1073150280 | Supplies Plus Inc. | Durable Medical Equipment & Medical Supplies | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2019-12-06 |
1386287001 | Mabel A Rivas | Case Manager/Care Coordinator | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2019-10-25 |
1467095182 | Karla Puello | Case Manager/Care Coordinator | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2019-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
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Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497256440 | Keri Chernuchin, Psy.d. Pllc | Psychologist | 485 Underhill Blvd Ste 107, Syosset, NY 11791-3434 | 2018-02-26 |
1437428893 | Joseph Weinreb | Psychologist | 70 Southwoods Rd, Syosset High School, Syosset, NY 11791-3204 | 2011-12-14 |
1023317294 | Bruce Hammer | Psychologist | 60 Hunters Dr, Syosset, NY 11791-2310 | 2011-03-27 |
1780820266 | Ellen Waldman | Psychologist | 20 Hilltop Dr, Syosset, NY 11791-2001 | 2009-01-05 |
1841400538 | Jay Evan Saul | Psychologist | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2007-05-23 |
1417078163 | Marla Bayles | Psychologist | 22 Melanie Ln, Syosset, NY 11791-5830 | 2007-04-02 |
1023156239 | Alvin Trachtman | Psychologist | 321 Southwood Circle, Syosset, NY 11791-5715 | 2007-02-01 |
1639242662 | Roxane Polak | Psychologist | 32 Shamrock Ct, Syosset, NY 11791-2417 | 2006-11-16 |
1275605628 | Keith Denton | Psychologist | 48 Melanie Ln, Syosset, NY 11791-5118 | 2006-11-14 |
1184794083 | Barry Helprin | Psychologist | 6800 Jericho Turnpike, Suite 120w, Syosset, NY 11791 | 2006-11-08 |
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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.