NORTH FORK NEUROPSYCHOLOGY (NPI# 1225309339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225309339 |
| Entity Type | Organization |
| Organization Name | NORTH FORK NEUROPSYCHOLOGY |
| Practice Address |
12 Platinum Ct Medford NY 11763-2247 |
| Practice Telephone | 6318752748 |
| Practice Fax Number | 4802474658 |
| Mailing Telephone | 6318752748 |
| Mailing Fax Number | 4802474658 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | DR. CELINE MARIE PAILLOT (FOUNDER AND OWNER) |
| Authorized Official Telephone | 6318752748 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407261811 | North Fork Neuropsychology | Clinic/Center | 633 Roanoke Ave, Riverhead, NY 11901-2727 | 2014-06-24 |
| Street Address |
12 PLATINUM CT |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588719041 | Little Angels Center, Inc | Physical Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2007-01-24 |
| 1346849437 | Stephanie Joanne Esposito | Massage Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2020-10-20 |
| 1922610286 | Kimberly Patricia Rosalia | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2020-08-18 |
| 1174165377 | Evolving Gait Physical Therapy, P.C. | Physical Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-10-09 |
| 1881258911 | Thomas Graham Conway | Occupational Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-04-24 |
| 1710442207 | Nichole Romeo | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-02-08 |
| 1629533112 | Leighann Aquaviva | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-02-08 |
| 1891262895 | Julia Santini | Speech-Language Pathologist | 12 Platinum Ct, Medford, NY 11763-2247 | 2018-10-28 |
| 1144565730 | Guylaine Saintilien | Physician Assistant | 12 Platinum Ct, Medford, NY 11763-2247 | 2012-12-07 |
| 1891044343 | Kenneth Thomas Krauss | Physician Assistant | 12 Platinum Ct, Medford, NY 11763-2247 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639958 | Steven C Schoger Psy D LLC | Psychologist | 10 Crater Lake Ave Ste 21, Medford, OR 97504-7445 | 2019-09-29 |
| 1578925947 | Linda Shane Escoll | Psychologist | 120 Curtis St, Counseling and Mental Health Service, Tufts University, Medford, MA 02155 | 2016-03-24 |
| 1033576723 | Nicole Paolillo | Psychologist | 2 Persimmon Ct, Medford, NJ 08055-3605 | 2016-01-26 |
| 1275929630 | Lizabeth M. Eckerd | Psychologist | 4497 Brown Ridge Ter Ste 106, Medford, OR 97504-9173 | 2015-04-13 |
| 1407265176 | Vicki Lumley, Ph.d., LLC | Psychologist | 724 South Central Ave., Suite 101, Medford, OR 97501-7851 | 2014-08-07 |
| 1144463845 | Boyd David Sherbourne | Psychologist | 670 Superior Ct Ste 110, Medford, OR 97504-6179 | 2009-04-09 |
| 1912143306 | Jacob John Mahon | Psychologist | 1744 E Mcandrews Rd Ste B, Medford, OR 97504-5576 | 2009-01-06 |
| 1750550687 | Joseph F Roe | Psychologist | 136 W Broadway Ave, Medford, WI 54451-1757 | 2008-02-25 |
| 1396942025 | Alan Ledford | Psychologist | 409 Ardmore Ave, Medford, OR 97504-8004 | 2007-06-27 |
| 1225247653 | Wade W Johnston | Psychologist | 603 Eugenia Drive, Medford, NJ 08055-2311 | 2007-05-22 |
| Find all providers in MEDFORD | ||||
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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.