DR. ELIZABETH A MUNDT (NPI# 1245306091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245306091 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH A MUNDT |
| Credential | PHD |
| Practice Address |
4 Rodmans Ln Ulster Park NY 12487-5013 |
| Practice Telephone | 8453387132 |
| Practice Fax Number | 8453387132 |
| Mailing Telephone | 8453387132 |
| Mailing Fax Number | 8453387132 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 011272-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
4 RODMANS LN |
| City | ULSTER PARK |
| State | NY |
| Zip Code | 12487-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841463775 | Stacey Lynn Tierney-gabler | Social Worker | 4 Rodmans Ln, Ulster Park, NY 12487-5013 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609413954 | Susan Williams | Social Worker | 18 Suominen Rd, Ulster Park, NY 12487 | 2019-12-05 |
| 1750521415 | Denise M Koemm | Registered Nurse | 91 Union Center Rd, Ulster Park, NY 12487 | 2009-02-20 |
| 1518183730 | Isis Chen Lan Lum | Acupuncturist | 232 River Rd., Ulster Park, NY 12487 | 2007-04-17 |
| 1841280310 | Long Lake Rescue Squad Inc | Ambulance | Newcomb Road, Long Lake, NY 12487-0415 | 2005-10-26 |
| 1245482512 | Deborah Lynne Haradon | Social Worker | 220 Rogers St, Ulster Park, NY 12487-5015 | 2008-10-18 |
| 1518465277 | Early Intervention Lcsw Services PC | Case Management | 220 Rogers St, Ulster Park, NY 12487-5015 | 2018-01-29 |
| 1477706455 | Jeffrey Allen Boardman | Occupational Therapist | 394 Broadway, Ulster Park, NY 12487-5102 | 2008-11-04 |
| 1396079133 | Dona M Havir | Registered Nurse | 617 Broadway, Ulster Park, NY 12487-5110 | 2009-09-27 |
| 1043549074 | Chhaya D. Shah | Dentist | 242 River Rd, Ulster Park, NY 12487-5119 | 2009-12-22 |
| 1922217587 | Rachel K. Evans | Social Worker | 93 Riverview Ct, Ulster Park, NY 12487-5123 | 2007-05-21 |
| Find all providers in zip 12487 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ULSTER PARK |
| Zip Code | 12487 |
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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.