ANN D GRACER


Address: 6724 165th St, Fresh Meadows, NY 11365-3204
Phone: 7184634640

ANN D GRACER (NPI# 1063407054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063407054
Entity Type Individual
Full Name ANN D GRACER
Credential PHD
Practice Address 6724 165th St
Fresh Meadows
NY 11365-3204
Practice Telephone 7184634640
Practice Fax Number 7184634655
Mailing Telephone 7184634640
Mailing Fax Number 7184634655
Enumeration Date 2005-09-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 01778 NY Behavioral Health & Social Service Providers
X 103TA0700X Psychologist
Specialization: Adult Development & Aging
01778 NY Behavioral Health & Social Service Providers
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
01778 NY Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
01778 NY Behavioral Health & Social Service Providers
X 103TH0100X Psychologist
Specialization: Health Service
01778 NY Behavioral Health & Social Service Providers
X 103TP0814X Psychologist
Specialization: Psychoanalysis
01778 NY Behavioral Health & Social Service Providers
X 103TP2701X Psychologist
Specialization: Group Psychotherapy
01778 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01413547 05
NY MHN 179302 01

Office Location

Street Address 6724 165TH ST
City FRESH MEADOWS
State NY
Zip Code 11365-3204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427660653 Melanie Batista Massage Therapist 71-55 Parsons Blvd, Fresh Meadows, NY 11365 2020-08-19
1497396378 Celestina Andino Registered Nurse 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 2019-10-02
1659939304 Bracha Kosoff Occupational Therapist 71-64 168th St., Flushing, NY 11365 2019-05-29
1295290419 Kate Okeke Licensed Practical Nurse 188 04 64th Avenue, Fresh Meadow, NY 11365 2019-02-01
1669951497 Jihee Woo Registered Nurse 189-04 6f Fresh Meadows, Queeens, NY 11365 2018-08-13
1710465125 In Hye Choi Acupuncturist 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 2018-07-30
1497231112 Shamain C Persaud Case Manager/Care Coordinator 67-28 188th Street, Fresh Meadows, NY 11365 2018-07-16
1598280489 Gabriella Pamela Koyenova Physician Assistant 69-24 181st Street, Fresh Meadows, NY 11365 2017-08-11
1750802781 Nicola Coley Behavioral Analyst 6747 161st Street, 1k, Flushing, NY 11365 2017-06-29
1811427941 Jong M Lee Acupuncturist 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 2017-06-12
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285891390 Melissa Laracuenta Psychologist 61-21 Utopia Parkway, Fresh Meadows, NY 11365 2008-05-18
1912983594 Howard Neiman Psychologist 7014 172nd St, Fresh Meadows, NY 11365-3340 2005-12-15
1396143798 Orly Cohen Psychologist 16216 Union Tpke, Metrochildren, Fresh Meadows, NY 11366-1958 2014-12-17
1881831006 Melissa Jill Spodek Psychologist 6725 188th St, Fresh Meadows, NY 11365-3767 2009-01-09
1578613287 Howard Weiner Psychologist 6732 185th St, Fresh Meadows, NY 11365-3512 2007-01-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487774 Rebecca Kason Psychologist 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 2020-11-05
1952900177 Sarah Slotkin Psychologist 997 Altamont Blvd, Altamont, NY 12009-6313 2020-10-19
1265031488 John Raymond Keefe Psychologist 205 E 95th St Apt 6c, New York, NY 10128-0233 2020-10-19
1447859830 Casey Dowdell Psychologist 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 2020-10-18
1578161063 Amanda Robyn Schwartz Psychologist 11 Appleby Dr, Bedford, NY 10506-1340 2020-10-15
1912505967 Tracy Lynn Clouthier Psychologist 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 2020-10-13
1477150035 Laura Joy Kaplan Psychologist 1619 3rd Ave Apt 29h, New York, NY 10128-3942 2020-10-07
1639786833 Benjamin Malkin Psychologist 663 Golf Dr, Valley Stream, NY 11581-3547 2020-09-30
1043827678 Paul Lichtenberg Psychologist 236 Tow Path Rd, Accord, NY 12404-5516 2020-09-28
1073129169 Alyssa Van Der Merwe Psychologist 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 2020-09-23
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Competitor

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City FRESH MEADOWS
Zip Code 11365

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Dataset Information

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.

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