DR. LINDA BUSCH SOMACH (NPI# 1205840584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205840584 |
| Entity Type | Individual |
| Full Name | DR. LINDA BUSCH SOMACH |
| Other Name | LINDA BUSCH |
| Credential | PH.D. |
| Practice Address |
3930 Richmond Ave Suite 104 Staten Island NY 10312-5100 |
| Mailing Address |
26 Vincent Ave Staten Island NY 10306-2137 |
| Practice Telephone | 7186056383 |
| Practice Fax Number | 7186056384 |
| Mailing Telephone | 7186056383 |
| Mailing Fax Number | 7186056384 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
012048 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI PROVIDER ID | 6885393 | 01 |
| NY | UNITED HEALTHCARE ID | 6153853 | 01 |
| NY | 01605632 | 05 | |
| NY | MHN PROVIDER ID | 241097 | 01 |
| NY | OXFORD ID | P2356070 | 01 |
| NY | VALUE OPTIONS ID | 092198 | 01 |
| Street Address |
3930 RICHMOND AVE SUITE 104 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064049 | Tager, Lew, Degaetano | Dentist | 3930 Richmond Ave, Staten Island, NY 10312-5100 | 2006-02-27 |
| 1174912083 | Trinity Pain Management of Staten Island, Pllc | Anesthesiology | 3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104 | 2015-01-15 |
| 1326450081 | Deborah Canavan Smith | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312-5104 | 2014-05-28 |
| 1578974564 | Jody Smith | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312-5104 | 2014-05-13 |
| 1902217243 | Ruth Lieberman | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312 | 2014-05-08 |
| 1356751952 | Christine Minieri | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312-5104 | 2014-05-05 |
| 1174878367 | Suhi Hong | Acupuncturist | 3930 Richmond Ave, Suite 200, Staten Island, NY 10312-5104 | 2012-07-13 |
| 1700167442 | Richmond Dental Arts P.C. | Dentist | 3930 Richmond Ave, 1st Floor, Staten Island, NY 10312 | 2011-09-08 |
| 1861785149 | Advance Medical and Diet Services | Family Medicine | 3930 Richmond Ave, Staten Island, NY 10312-5104 | 2011-05-19 |
| 1104143361 | Y A Anesthesia Pain Management Pllc | Pain Medicine | 3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104 | 2010-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003311218 | Valentina Teresa Diglio | Psychologist | 1110 South Ave Ste 5, Staten Island, NY 10314-3403 | 2018-03-28 |
| 1407205842 | Neil B Madero | Psychologist | 67 Jackson St, Staten Island, NY 10304-2229 | 2016-06-07 |
| 1306210125 | Ife Landsmark | Psychologist | New Broadview Manor - 70 Father Capodanno Blvd, Staten Island, NY 10305 | 2015-11-17 |
| 1639578206 | Pakier Psychological Services P.C. | Psychologist | 1550 Richmond Ave Ste 203, Staten Island, NY 10314-1578 | 2014-08-19 |
| 1649511783 | Virginia Boga | Psychologist | 979 Lamont Ave, Staten Island, NY 10309-2207 | 2013-03-14 |
| 1053695072 | Shveta Mittal | Psychologist | 180 Four Corners Rd, Staten Island, NY 10304-1222 | 2011-10-10 |
| 1841571312 | Susan Merle Tyburczy | Psychologist | 152 Ross Ave, Staten Island, NY 10306-2952 | 2011-08-29 |
| 1194022004 | Lauriann Mancini | Psychologist | 28 Brookside Loop, Staten Island, NY 10309-4501 | 2011-02-12 |
| 1578865523 | Frances Adele Melendez | Psychologist | 797 Brighton Ave, Staten Island, NY 10301-2736 | 2010-11-24 |
| 1780842922 | Linda Marconi-manda | Psychologist | 78 Cedarcliff Road, Staten Island, NY 10301-4402 | 2008-05-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
Please comment or provide details below to improve the information on DR. LINDA BUSCH SOMACH.
| 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.