SOUTH SHORE PSYCHOLOGICAL CARE P.C. (NPI# 1144559881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144559881 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE PSYCHOLOGICAL CARE P.C. |
| Practice Address |
250 Montauk Highway East Moriches NY 11940 |
| Practice Telephone | 6317868930 |
| Practice Fax Number | 6318742824 |
| Mailing Telephone | 6317868930 |
| Mailing Fax Number | 6318742824 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |
| Authorized Official Name | DR. PETER G D'ELENA (PSYCHOLOGIST-PRESIDENT) |
| Authorized Official Telephone | 6317868930 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
015937 | NY | Behavioral Health & Social Service Providers |
| Street Address |
250 MONTAUK HIGHWAY |
| City | EAST MORICHES |
| State | NY |
| Zip Code | 11940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903450 | Ambulance Committee of The Moriches, Inc | Ambulance | 275 Montauk Highway, East Moriches, NY 11940 | 2019-10-11 |
| 1760938328 | Erica Bove | Pharmacist | 94a Montauk Highway, East Moriches, NY 11940 | 2016-09-01 |
| 1700293305 | Sean D Brown | Registered Nurse | 11 Wilson Ave, East Moriches, NY 11940 | 2014-07-15 |
| 1255629564 | Mary Ellen Catherine Vadax | Licensed Practical Nurse | 61 Pine Edge Dr, East Moriches, NY 11940 | 2011-07-20 |
| 1447581178 | Vera-ellen Frances White | Family Medicine | 82 Inletview Path, East Moriches, NY 11940 | 2010-01-20 |
| 1598909079 | Wendy Ann Geehreng | Nurse Practitioner | 492 Montauk Highway, East Moriches, NY 11940 | 2009-04-28 |
| 1013161835 | Patricia Beaujuin | Licensed Practical Nurse | 59 Linconl Blvd, Eastmoriches, NY 11940 | 2008-11-06 |
| 1174796635 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 65 Pine St, East Moriches, NY 11940 | 2008-04-07 |
| 1356514814 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 120 Frowein Rd, East Moriches, NY 11940 | 2008-04-07 |
| 1659566305 | Cynthia Lynn Mcdonald | Licensed Practical Nurse | 38 Harts Rd, East Moriches, NY 11940 | 2007-09-06 |
| Find all providers in zip 11940 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215252630 | Pamela A Blake | Psychologist | 451 Montauk Hwy, East Moriches, NY 11940-1357 | 2010-03-29 |
| 1356400386 | Alexander M Piekarski | Psychologist | 587 Montauk Hwy, East Moriches, NY 11940-1234 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST MORICHES |
| Zip Code | 11940 |
Please comment or provide details below to improve the information on SOUTH SHORE PSYCHOLOGICAL CARE P.C..
| 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.