ANGELIQUA MITRA


Address: 55 Horizon Dr, Huntington, NY 11743-4436
Phone: 6319208004

ANGELIQUA MITRA (NPI# 1114350733) 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) 1114350733
Entity Type Individual
Full Name ANGELIQUA MITRA
Credential PSY.D.
Practice Address 55 Horizon Dr
Huntington
NY 11743-4436
Mailing Address 16 Winchester Dr
Glen Head
NY 11545-3203
Practice Telephone 6319208004
Enumeration Date 2013-08-19
Last Update Date 2013-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 55 HORIZON DR
City HUNTINGTON
State NY
Zip Code 11743-4436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811988363 Cathy Jo Lore Psychiatry & Neurology 55 Horizon Dr, Huntington, NY 11743-4436 2005-11-03
1811595937 Breanna Hardy Student in an Organized Health Care Education/Training Program 55 Horizon Dr, Huntington, NY 11743-4436 2020-10-12
1598377061 Athena Amelia Innes Counselor 55 Horizon Dr, Huntington, NY 11743-4436 2020-08-17
1295364453 Jairo Antonio Martinez Student in an Organized Health Care Education/Training Program 55 Horizon Dr, Huntington, NY 11743-4436 2020-04-08
1710512579 David Mark Chermak Student in an Organized Health Care Education/Training Program 55 Horizon Dr, Huntington, NY 11743-4436 2020-03-11
1871130377 Nicole E Azzue Student in an Organized Health Care Education/Training Program 55 Horizon Dr, Huntington, NY 11743-4436 2019-12-03
1457995763 James Cherry Social Worker 55 Horizon Dr, Huntington, NY 11743-4436 2019-10-30
1447801063 Amber Marie Lennon Case Manager/Care Coordinator 55 Horizon Dr, Huntington, NY 11743-4436 2019-09-25
1063063543 Stephanie Michelle Sampayo Student in an Organized Health Care Education/Training Program 55 Horizon Dr, Huntington, NY 11743-4436 2019-09-25
1962052191 Vanessa C Smith Licensed Vocational Nurse 55 Horizon Dr, Huntington, NY 11743-4436 2019-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447896477 Peter C Gaal Behavioral Analyst 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 2019-11-25
1902389299 Taylor Bliss Dambrosio Early Intervention Provider Agency 38 Carnegie Ave, Huntington, NY 11743 2018-09-12
1639601750 Speech and Hearing Services Clinic/Center 17 Brooks Ave Unit1, Huntington, NY 11743 2017-03-29
1174983456 Helene Falcone Registered Nurse 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 2016-03-01
1124499470 Thomas Hlenski Social Worker 4 Richard Lane, Huntington, NY 11743 2015-10-13
1174921308 Jeanne Ginsberg Counselor 81 Knollwood Avenue, Huntington, NY 11743 2014-12-22
1770980534 Emily Ann Sombke Physician Assistant 249 Manor Rd., Huntington, NY 11743 2014-11-21
1881096162 Applied Health Chiropractic Chiropractor 12 Ash Pl, Huntington, NY 11743 2014-09-18
1265857643 Ccs Medical Practice, Pllc Public Health or Welfare 17 Southdown Road, Huntington, NY 11743 2014-02-21
1255760682 Ekaterina Femminella Acupuncturist 181 Main St Ste 105, Huntington, NY 11743 2013-11-06
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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
1245854124 Marianna Linz Psychologist 1 John Marshall Dr Dept Of, Huntington, WV 25755-0003 2020-06-05
1003354069 James Rubin-perez Psychologist 23 Barrow Ct, Huntington, NY 11743-4117 2017-02-09
1497125132 Laura Bickett Psychologist 5158 Rt. 60 East, Suite 32, Huntington, WV 25705-2076 2015-10-06
1831513217 Family Guiding Psychological Psychologist 29 Edgar Ct, Huntington, NY 11743-2671 2014-02-06
1366887085 Elana Rosof, Phd Psychologist LLC Psychologist 328 Main St Ste 202, Huntington, NY 11743-6972 2013-05-08
1841574084 Christopher Jude Fives Psychologist 3 Longview Ct, Huntington, NY 11743-1450 2011-10-06
1235429002 Pamela Lou Dickens-rush Psychologist 1418 Lynn St, Huntington, WV 25701-4216 2011-04-14
1528267069 Dianne Marie Polowczyk Psychologist 20 Meadowwood Ct, Huntington, NY 11743-3829 2007-07-14
1780715151 Doris Jean Rapp Psychologist 1219 Hitzfield St, Huntington, IN 46750-4225 2007-03-08
1487703740 Ralph George Tucci Psychologist 775 Park Ave Ste 112, Huntington, NY 11743-7503 2007-01-09
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Competitor

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City HUNTINGTON
Zip Code 11743

Improve Information

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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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