DR. THERESA IRENE DESANTIS (NPI# 1194883884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194883884 |
| Entity Type | Individual |
| Full Name | DR. THERESA IRENE DESANTIS |
| Credential | PH.D. |
| Practice Address |
1111 Broadhollow Rd Suite 204 Farmingdale NY 11735-4820 |
| Mailing Address |
32 Sally Ln Plainview NY 11803-1434 |
| Practice Telephone | 6314147181 |
| Practice Fax Number | 6314147178 |
| Mailing Telephone | 5166370689 |
| Mailing Fax Number | 6314147178 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
NY | Behavioral Health & Social Service Providers |
| Street Address |
1111 BROADHOLLOW RD SUITE 204 |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159181 | Munzer Basheer Kara | Dentist | 1111 Broadhollow Rd, Suite 104, Farmingdale, NY 11735-4820 | 2005-10-25 |
| 1588017164 | Mubushar Ikram Raza | Nurse Practitioner | 1111 Broadhollow Rd, Farmingdale, NY 11735-4820 | 2016-07-19 |
| 1699124230 | Christine Saftchick | Nurse Practitioner | 1111 Broadhollow Rd, Farmingdale, NY 11735-4820 | 2016-06-05 |
| 1174999437 | Mary T Denning | Social Worker | 1111 Broadhollow Rd, Suite 204, Farmingdale, NY 11735-4820 | 2015-08-20 |
| 1720472665 | People Talk, Inc | Social Worker | 1111 Broadhollow Rd, Suite 204, Farmingdale, NY 11735-4820 | 2015-03-27 |
| 1356734131 | Michael C Braunstein Md Pllc | Specialist | 1111 Broadhollow Rd, Suite 205, Farmingdale, NY 11735-4820 | 2015-03-18 |
| 1538551957 | Kristen Aliperti | Counselor | 1111 Broadhollow Rd, Suite 204, Farmingdale, NY 11735-4820 | 2015-02-22 |
| 1184022907 | Kane Dental of Farmingdale | Dentist | 1111 Broadhollow Rd, Suite 210, Farmingdale, NY 11735-4820 | 2014-12-10 |
| 1023369295 | John C Marino | Counselor | 1111 Broadhollow Rd, Farmingdale, NY 11735-4820 | 2012-09-27 |
| 1033478508 | Prime for Life | Social Worker | 1111 Broadhollow Rd, Ste 214, Farmingdale, NY 11735-4820 | 2012-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215026 | Elizabeth R Mchugh | Psychologist | 1451 Nj 34, Farmingdale, NJ 07727 | 2019-06-25 |
| 1750481446 | Barbara Bradley Bolen | Psychologist | 17 Conklin St, 2nd Floor, Farmingdale, NY 11735-2557 | 2006-09-23 |
| 1922166628 | First Light Psychological Services, P.l.l.c. | Psychologist | 1111 Broadhollow Rd, Suite 204, Farmingdale, NY 11735-4820 | 2006-12-05 |
| 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 | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on DR. THERESA IRENE DESANTIS.
| 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.