MR. PETER THOMAS TEALL (NPI# 1225048671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225048671 |
| Entity Type | Individual |
| Full Name | MR. PETER THOMAS TEALL |
| Other Name | MR. PETER THOMAS TEALL |
| Credential | LCSW-R, CASAC |
| Practice Address |
496 White Spruce Blvd Rochester NY 14623-1608 |
| Practice Telephone | 5853058759 |
| Mailing Telephone | 5853058759 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11606 | NY | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
071006-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
496 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003878992 | Laurie P Burns | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-04-05 |
| 1891913521 | Joy Anita Hofbauer | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2007-04-20 |
| 1689700601 | Rita Marle Reisinger Novisky | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623 | 2007-02-26 |
| 1659451508 | Karl J Herrenkohl | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-10-16 |
| 1225131121 | Steven Davis | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-09-06 |
| 1285741439 | William A Kelly | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-08-24 |
| 1821016171 | Carole B. Frank | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-07-17 |
| 1154355279 | Paul Noah Rosenfeld | Psychiatry & Neurology | 496 White Spruce Blvd, Rochester, NY 14623 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
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| 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.