DR. HOLLY SERRAO (NPI# 1063772382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063772382 |
| Entity Type | Individual |
| Full Name | DR. HOLLY SERRAO |
| Credential | PH.D. |
| Practice Address |
2310 Nott St E Niskayuna NY 12309-4303 |
| Mailing Address |
306 Foxwood Dr Clifton Park NY 12065-6911 |
| Practice Telephone | 5185984323 |
| Practice Fax Number | 5183726081 |
| Mailing Telephone | 5185984323 |
| Mailing Fax Number | 5183726081 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2014-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1207 | SC | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1207 | SC | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
1207 | SC | Behavioral Health & Social Service Providers |
| Street Address |
2310 NOTT ST E |
| City | NISKAYUNA |
| State | NY |
| Zip Code | 12309-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346222544 | Janice M Howells | Social Worker | 2310 Nott St E, Niskayuna, NY 12309-4333 | 2005-11-15 |
| 1922455567 | Rebecca Martin | Clinical Neuropsychologist | 2310 Nott St E, Niskayuna, NY 12309-4345 | 2016-05-23 |
| 1710391701 | Phong Chung | Dentist | 2310 Nott St E, Niskayuna, NY 12309-4345 | 2014-06-17 |
| 1548519317 | Jill Deltosta | Psychologist | 2310 Nott St E, Niskayuna, NY 12309-4345 | 2012-09-07 |
| 1053546713 | Mark Rogerson | Clinical Neuropsychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2009-05-26 |
| 1730374828 | David S Skory Md PC | Obstetrics & Gynecology | 2310 Nott St E, Ste 1, Niskayuna, NY 12309-4303 | 2007-09-11 |
| 1821293309 | John M. Pramenko, Md, P.C. | Family Medicine | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-06-15 |
| 1588786461 | Curley Ellis and Felsman Psychologists PC | Clinical Neuropsychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-04-04 |
| 1669505590 | Peter John Cornish | Psychologist | 2310 Nott St E, C/o Assoc. In Mental Health and Neuropsychology, Niskayuna, NY 12309-4303 | 2007-03-13 |
| 1750438347 | Linda Gavan Ward | Psychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438347 | Linda Gavan Ward | Psychologist | 2310 Nott St E, Niskayuna, NY 12309-4303 | 2007-01-04 |
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| 1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
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| 1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
| 1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
| 1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
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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.