WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C.


Address: 135 Pinelawn Rd Ste 204n, Melville, NY 11747-3133
Phone: 8448880355

WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C. (NPI# 1194252742) 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) 1194252742
Entity Type Organization
Organization Name WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C.
Practice Address 135 Pinelawn Rd Ste 204n
Melville
NY 11747-3133
Practice Telephone 8448880355
Practice Fax Number 8442224005
Enumeration Date 2017-05-15
Last Update Date 2020-06-08
Authorized Official Name CONSTANCE LEE WOYTHAL (OWNER)
Authorized Official Telephone 5169874200
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 135 PINELAWN RD STE 204N
City MELVILLE
State NY
Zip Code 11747-3133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063920841 Wellqor Psychological Services, PC Social Worker 135 Pinelawn Rd Ste 204n, Melville, NY 11747-3133 2018-01-16

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NPI Name Taxonomy Address Enumeration
1891316139 Shaina Flanzraich Physical Therapist 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 2020-04-28
1952943763 Liana Danielle Maher Behavior Technician 225 Broadhallow Road Suite 402, Melville, NY 11747 2019-10-14
1114402096 Anicka Inez Douglas Behavior Technician 225 Broadhollow Road Suite 402, Melville, NY 11747 2018-09-26
1962988717 Brien Nina-louise Potter Behavior Technician 225 Broadhollow Road, Suite 402, Melville, NY 11747 2018-07-16
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1992236624 Annmarie Irene Russo Behavior Technician 538 Ny-110, Suite 202, Melville, NY 11747 2017-03-24
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1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03
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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
1699019109 Laura Damico Psychologist 140 Raspberry Ct, Melville, NY 11747-8706 2012-11-21
1588937221 Jessica Joy Puttre Psychologist 555 Broadhollow Rd 327, Melville, NY 11747-5018 2012-02-10
1225351448 Ron K Stewart Psychologist 106 Pembroke Ave, Melville, NY 11747-4309 2010-03-02
1952561136 Harold S Stulbaum Psychologist 423 Florencia Pl, Melville, NY 11747-5298 2008-06-11
1639399678 Pamela Jean Spencer Psychologist 3 Giffard Way, Melville, NY 11747-2310 2007-05-01
1265554422 Marilyn Blumenthal Psychologist 30 Clafford Ln, Melville, NY 11747-1310 2007-04-06
1902984370 George Andrew Blednick Psychologist 36 Overhill Rd, Melville, NY 11747-1036 2006-11-01
1982789970 Lawrence Robert Kotkin Psychologist 61 Wilmington Dr, Melville, NY 11747-4032 2006-10-26
1073605614 Shana Nichols Psychologist 63 Old East Neck Rd, Melville, NY 11747-2806 2006-09-29
1629175039 Fred L Holtz Psychologist 20 Broadhollow Rd, Suite 2004, Melville, NY 11747-2501 2006-09-20
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Competitor

Search similar providers

City MELVILLE
Zip Code 11747

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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