JARED HIMMELBLAU (NPI# 1073921219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073921219 |
| Entity Type | Individual |
| Full Name | JARED HIMMELBLAU |
| Practice Address |
56 Beach St Staten Island NY 10304-2702 |
| Practice Telephone | 7187202603 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
56 BEACH ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467879197 | Shawn Angelique Smith | Social Worker | 56 Beach St, Staten Island, NY 10304-2702 | 2014-03-19 |
| 1205232139 | Andrea Brognano | Community/Behavioral Health | 56 Beach St, Staten Island, NY 10304-2702 | 2014-11-04 |
| 1245633494 | Taryn Fogarty | Student in an Organized Health Care Education/Training Program | 56 Beach St, Staten Island, NY 10304-2702 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| 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 |
|---|---|---|---|---|
| 1528484144 | Stephanie Alexander X | Psychologist | 18 Villanova St, Staten Island, NY 10314-6032 | 2014-03-06 |
| 1699017418 | Nitsana Moyal | Psychologist | 965 Willowbrook Rd, Staten Island, NY 10314-4271 | 2013-03-19 |
| 1790029148 | Marie Biancaniello | Psychologist | 24 Don Ct, Staten Island, NY 10312-1574 | 2012-11-23 |
| 1598039083 | Jeane Rajacic-poppe | Psychologist | 2286 Richmond Rd, Staten Island, NY 10306-2563 | 2012-02-29 |
| 1811274111 | Zenia Ruby | Psychologist | 3575 Richmond Rd, Staten Island, NY 10306-1429 | 2011-11-15 |
| 1710203393 | Charles Destefano | Psychologist | 77 Governor Rd, Staten Island, NY 10314-3021 | 2010-04-08 |
| 1558599639 | Vikki Palmer | Psychologist | 2702 Richmond Ter, Staten Island, NY 10303-2313 | 2009-06-26 |
| 1841426665 | Bertram Oliver Ploog | Psychologist | 56 Saint Marks Pl, Staten Island, NY 10301-1607 | 2009-06-08 |
| 1306046313 | Lauren Weissman | Psychologist | 25 President St, Staten Island, NY 10314-4119 | 2007-07-19 |
| 1023136967 | Noah Malowitzky | Psychologist | 483 Harold St, Staten Island, NY 10314 | 2007-03-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.