MICHAEL D GLEASON


Address: 235 North Ave, Penn Yan, NY 14527-1051
Phone: 3155367447

MICHAEL D GLEASON (NPI# 1124478490) 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) 1124478490
Entity Type Individual
Full Name MICHAEL D GLEASON
Credential MS
Practice Address 235 North Ave
Penn Yan
NY 14527-1051
Mailing Address 3300 E Lake Rd Unit 7c
Canandaigua
NY 14424-2353
Practice Telephone 3155367447
Mailing Telephone 3154155465
Enumeration Date 2016-06-17
Last Update Date 2016-06-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

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Office Location

Street Address 235 NORTH AVE
City PENN YAN
State NY
Zip Code 14527-1051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821114760 Jo'el Joy Mcafee Registered Nurse 235 North Ave, Penn Yan, NY 14527-1051 2007-03-22
1972157469 Yates County Chapter Nysarc, Inc Home Health 235 North Ave, Penn Yan, NY 14527-1051 2019-08-01
1912489733 Christopher Clinton Counselor 235 North Ave, Penn Yan, NY 14527-1051 2018-08-29
1649701152 John William Hassett Occupational Therapy Assistant 235 North Ave, Penn Yan, NY 14527-1051 2017-03-26
1598204687 Peggy Cummings Registered Nurse 235 North Ave, Penn Yan, NY 14527-1051 2017-02-22
1508214537 Anthony J Petrucci Clinic/Center 235 North Ave, Penn Yan, NY 14527-1051 2016-05-31
1841648433 Brandon Michael Jones Social Worker 235 North Ave, Penn Yan, NY 14527-1051 2016-05-25
1184079550 Trenton Barry Counselor 235 North Ave, Penn Yan, NY 14527-1051 2016-05-04
1336593920 Yates County Chapter, Nysarc Inc Clinic/Center 235 North Ave, Penn Yan, NY 14527-1051 2016-04-20
1255706776 Emily Dailey Specialist 235 North Ave, Penn Yan, NY 14527-1051 2015-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811523624 Patrick James Lenney Social Worker 418 N. Main St, Penn Yan, NY 14527 2020-03-13
1568937340 Robert D Knapp Independent At Home Clinic/Center 1 Keuka Business Park Suite201, Penn Yan, NY 14527 2018-10-09
1912241555 Janis Michele Jepsen Specialist 417 Liberty Street Suite 2120, Penn Yan, NY 14527 2012-11-20
1316031057 Kimberly A Newell Nurse Anesthetist, Certified Registered 418 North Main Street, Penn Yan, NY 14527 2006-10-03
1346341625 Kathleen Gail Obrien Nurse Practitioner 465 North Main Street, Penn Yan, NY 14527 2006-09-26
1699877209 Deborah L Casson Nurse Practitioner 1 Keuka Business Park, Penn Yan, NY 14527 2006-09-03
1205377454 Nancy Stone Community Health Worker 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 2017-03-20
1386786895 James L Coles Lcsw, PC Social Worker 1 Keuka Business Park, Penn Yan, NY 14527 2007-02-12
1124181094 Sherri L Borglum Counselor 21 Main St, Penn Yan, NY 14527 2006-12-19
1033215934 Janet Lisa Lewis Psychiatry & Neurology 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 2006-09-16
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1871065524 Richard Gray Sr. Psychologist 2033 Seagirt Blvd Apt 3g, Far Rockaway, NY 11691-2933 2018-12-19
1417438045 Patricia Ann Barker Psychologist 4 Meleny Rd, Locust Valley, NY 11560-1220 2018-08-22
1720511413 Christine Mary Silvestro Psychologist 480 Oakwood Dr, Southold, NY 11971-3211 2017-04-10
1336680313 Shirley Joseph-ross Psychologist 109-46 172nd Street, Jamaica, NY 11433 2017-03-10
1568902336 Hilda Ann Varghese Psychologist 26607 Union Tpke, New Hyde Park, NY 11040-1426 2017-02-27
1225482227 Lolita Angelique Sherman-coyle Psychologist 165 Saint Marks Pl Apt 8m, 8m, Staten Island, NY 10301-1650 2016-04-16
1710362231 Rhonisha Jeremiah-king Psychologist 237 E 92nd St Apt 1f, Brooklyn, NY 11212-1434 2015-07-27
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Competitor

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City PENN YAN
Zip Code 14527

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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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