DR. JENNIFER ZODAN (NPI# 1205144516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205144516 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ZODAN |
| Credential | PH.D. |
| Practice Address |
35 Longwood Rd Middle Island NY 11953-2045 |
| Practice Telephone | 5166959540 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | P77810 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019714 | NY | Behavioral Health & Social Service Providers |
| Street Address |
35 LONGWOOD RD |
| City | MIDDLE ISLAND |
| State | NY |
| Zip Code | 11953-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265570493 | Just Kids Diagnostic and Treatment Center | Case Management | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2007-02-01 |
| 1174122816 | Nikki Bogin-gustavson | Psychologist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2020-10-23 |
| 1679170021 | Kimberly Nicole Little | Physician Assistant | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2020-10-07 |
| 1972116119 | Jennifer Dawn Vasaturo | Social Worker | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2020-08-27 |
| 1285246637 | Melisa Cartagena | Social Worker | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2020-08-18 |
| 1720613961 | Narada Brooks | Specialist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2020-03-09 |
| 1053946624 | Sina Grillo | Occupational Therapist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2020-03-04 |
| 1437796646 | Gianna Kelly | Specialist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2019-12-06 |
| 1639716301 | Jamie Kim Chambers | Occupational Therapist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2019-12-02 |
| 1730724576 | Casey Joy Hudson | Health Educator | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1598252553 | Karen Simpson | Dietitian, Registered | 23 Summersweet Drive, Middle Island, NY 11953 | 2018-04-16 |
| 1699285502 | Amanda Rebekah Maye | Licensed Practical Nurse | 24 Wilson Avenue, Middle Island, NY 11953 | 2017-10-05 |
| 1982042065 | Shanti Kumari Chand | Licensed Practical Nurse | 49 Crest St, Oak Hollow Nursing Center, Middle Island, NY 11953 | 2013-06-11 |
| 1154664886 | Achieve Beyond Oediatric Therapy and Early Intervention Services | Early Intervention Provider Agency | 1103 Stonegate Way, Middle Island, NY 11953 | 2013-04-01 |
| 1831434018 | Amanda M Titus | Licensed Practical Nurse | 6 Redbud Ct, Middle Island, NY 11953 | 2012-11-29 |
| 1740561810 | Daniel Joseph Mckiernan | Registered Nurse | 217 Lake Point Cir, Middle Island, NY 11953 | 2011-09-02 |
| 1760787212 | Marissa Rodriguez | Speech-Language Pathologist | 41 Yaphank Middle Island Rd, Middle Island, NY 11953 | 2011-01-13 |
| 1376861542 | Sara Buckley | Licensed Practical Nurse | 341 Lake Pointe Dr, Middle Island, NY 11953 | 2010-05-12 |
| 1669645818 | Kimberley Jean Levy | Physician Assistant | 281 Middle Country Road, Middle Islana, NY 11953 | 2008-04-09 |
| Find all providers in zip 11953 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043411846 | Cynthia Leong | Psychologist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2007-05-30 |
| 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 | MIDDLE ISLAND |
| Zip Code | 11953 |
Please comment or provide details below to improve the information on DR. JENNIFER ZODAN.
| 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.