JESSICA DOMST (NPI# 1215327416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215327416 |
| Entity Type | Individual |
| Full Name | JESSICA DOMST |
| Credential | MA |
| Practice Address |
393 North St Springville NY 14141-9652 |
| Practice Telephone | 7165929331 |
| Practice Fax Number | 7165924683 |
| Mailing Telephone | 7165929331 |
| Mailing Fax Number | 7165924683 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
146639021 | NY | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
393 NORTH ST |
| City | SPRINGVILLE |
| State | NY |
| Zip Code | 14141-9652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912154717 | League for The Handicapped, Inc. | Early Intervention Provider Agency | 393 North St, Springville, NY 14141-9652 | 2008-08-22 |
| 1386245777 | Amanda Lynn Rotino | Physical Therapy Assistant | 393 North St, Springville, NY 14141-9652 | 2020-11-03 |
| 1205467701 | Nicole Danielle Sion | Occupational Therapy Assistant | 393 North St, Springville, NY 14141-9652 | 2020-02-03 |
| 1760027361 | Hallie Kathleen Fiore | Occupational Therapist | 393 North St, Springville, NY 14141-9652 | 2019-11-07 |
| 1043865785 | Lynn Smith | Specialist | 393 North St, Springville, NY 14141-9652 | 2019-08-08 |
| 1063973667 | Danielle R Wiepert | Registered Nurse | 393 North St, Springville, NY 14141-9652 | 2019-03-27 |
| 1003398140 | Emily Snyder | Occupational Therapist | 393 North St, Springville, NY 14141-9652 | 2018-09-05 |
| 1295220945 | Alexis Linz | Speech-Language Pathologist | 393 North St, Springville, NY 14141-9652 | 2018-06-26 |
| 1033606538 | Patricia M Margerum | Early Intervention Provider Agency | 393 North St, Springville, NY 14141-9652 | 2018-04-19 |
| 1447758156 | Brenda Overhoff | Physical Therapy Assistant | 393 North St, Springville, NY 14141-9652 | 2018-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831666114 | Lauren Victoria Manchester | Student in an Organized Health Care Education/Training Program | 290 Vaughn Street, Springville, NY 14141 | 2018-10-25 |
| 1366950479 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 224 East Main St., Buffalo Orthopaedic Group, LLP, Springville, NY 14141 | 2018-01-11 |
| 1104195130 | Mary Ann Garlock | Speech-Language Pathologist | 290 North Buffalo St, Springville, NY 14141 | 2011-12-20 |
| 1124341128 | Susan K Bancroft | Pharmacist | 316 S.cascade Dr., Springville, NY 14141 | 2010-03-04 |
| 1710132204 | Rhonda C. Cecala | Licensed Practical Nurse | 337 North Buffalo Street, Springville, NY 14141 | 2008-11-25 |
| 1538340278 | Darren W Love | Pharmacist | 184 So Cascade Dr, Springville, NY 14141 | 2007-11-23 |
| 1891882320 | Theodore M Steinwachs | Physician Assistant | 24 Franklin Street, Springville, NY 14141 | 2006-10-06 |
| 1659489201 | Amy Elizabeth Schmitt-kingston | Dentist | 13832 White St, Springville, NY 14141 | 2006-08-25 |
| 1548274459 | Chiropractic Care Pllc | Chiropractor | 85 Franklin St, Springville, NY 14141 | 2006-07-28 |
| 1619922770 | Lori Ann Baker | Nurse Anesthetist, Certified Registered | Bertrand Chaffee Hospital, 224 East Main Street, Springville, NY 14141 | 2006-05-24 |
| Find all providers in zip 14141 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 14141 |
Please comment or provide details below to improve the information on JESSICA DOMST.
| 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.