DR. RICHARD EMERSON WALL


Address: 124 Merrick Ave Ste 1, Merrick, NY 11566-3434
Phone: 5163182913

DR. RICHARD EMERSON WALL (NPI# 1174159826) 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) 1174159826
Entity Type Individual
Full Name DR. RICHARD EMERSON WALL
Credential PH.D.
Practice Address 124 Merrick Ave Ste 1
Merrick
NY 11566-3434
Mailing Address 12 Strathmore Ln
Rockville Centre
NY 11570-1848
Practice Telephone 5163182913
Practice Fax Number 5165940929
Mailing Telephone 5163182913
Mailing Fax Number 5165940929
Enumeration Date 2020-03-13
Last Update Date 2020-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
009449 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26 Court St Ste 1214, Brooklyn, NY 112421112 5163182913 5165940929

Other Providers RICHARD WALL

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1023266327 Richard Wayne Wall Obstetrics & Gynecology 2690 State Road 13, Switzerland, FL 32259-9262 2008-08-29
1548300106 Richard Allen Wall Emergency Medicine 1042 Hill Cir, Colorado Springs, CO 80904-1034 2007-02-06
1275525388 Richard A Wall Jr. Family Medicine 1278 N Lafayette Dr, Sumter, SC 29150-2964 2005-08-16
1053600361 Richard Wall Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2011-04-07
1508058991 Richard Wall Orthotist 1900 116th Ave Ne, Suite 210, Bellevue, WA 98004-3052 2007-08-09
1184780728 Richard J Wall Internal Medicine 4011 Talbot Rd S, Ste 460, Renton, WA 98055-5773 2006-12-28
1295802213 Richard Lee Wall Psychologist 4920 S Loop 289, Suite 102c, Lubbock, TX 79414 2006-11-29
1811971393 Richard A Wall Family Medicine 19841 N 27th Ave, Ste. 101, Phoenix, AZ 85027-4003 2005-11-30

Office Location

Street Address 124 MERRICK AVE STE 1
City MERRICK
State NY
Zip Code 11566-3434

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538722657 Francis Gregory Coffey Psychologist 124 N Merrick Ave, Merrick, NY 11566 2019-04-15
1912499401 Icahn School of Medicine At Mount Sinai Registered Nurse 2209 Merrick Rd Ste 101, Merrick, NY 11566 2018-05-31
1013436732 Elisabeth Chandlin Walker Speech-Language Pathologist 2825 Bay Dr, Merrick, NY 11566 2017-09-13
1720509938 Gloria Lebeaux Social Worker 1860 Nassau Street, Merrick, NY 11566 2017-06-28
1104350941 Sari Klar Counselor 1991 Norshon Rd, Merrick, NY 11566 2017-04-19
1447790563 Yash Shah Student in an Organized Health Care Education/Training Program 1068 Susan Ct, Merrick, NY 11566 2017-03-08
1457700320 Rachel Zimmern Specialist 16 Arbor Ln, Merrick, NY 11566 2016-06-10
1326435785 Christine Cione Counselor 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 2015-04-22
1407269590 Yolanda Stahl Dpm PC Podiatrist 1457 Merrick Ave, Merrick, NY 11566 2014-06-05
1629496575 Sara D Lobato Registered Nurse 1970 Brook Park Dr, Merrick, NY 11566 2014-03-28
Find all providers in zip 11566

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184007452 Benjamin Adam Feld Psychologist 2072 Lawry Ln, Merrick, NY 11566-5316 2015-07-06
1467765156 Matthew Pulewitz Psychologist 1955 Merrick Rd Ste 201, Merrick, NY 11566-4635 2010-07-22
1932353117 Nadine L Derovira Psychologist 1351 Merrick Ave, Merrick, NY 11566-1634 2008-11-13
1568599512 Arthur I Leibowitz Psychologist 254 Lincoln Blvd, Merrick, NY 11566-4713 2007-02-27
1528114923 Dinah Levant Mast Psychologist 2311 Margaret Blvd, Merrick, NY 11566 2007-01-26
1073666921 Nathaniel Jules Glaser Psychologist 43 Harvard Ave, Merrick, NY 11566-4412 2007-01-22
1558410282 Stacy L Phillips Psychologist 111 Shoreham Way, Merrick, NY 11566-5030 2007-01-10
1396893301 Shaul Rabinowitz Psychologist 124 North Merrick Ave, Merrick, NY 11566-3434 2007-01-08
1720142763 Patricia Mckeegan Psychologist 61 Nancy Blvd, Merrick, NY 11566-3242 2006-12-21
1780765503 Helene M Mair Phd PC Psychologist 31 Merrick Ave., Suite 210, Merrick, NY 11566 2006-10-18
Find all providers in MERRICK

Competitor

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City MERRICK
Zip Code 11566

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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