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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
009449 | NY | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
26 Court St Ste 1214, Brooklyn, NY 112421112 | 5163182913 | 5165940929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
124 MERRICK AVE STE 1 |
City | MERRICK |
State | NY |
Zip Code | 11566-3434 |
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 Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
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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.