COMMACK CONSULTATION CENTER (NPI# 1245752971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245752971 |
Entity Type | Organization |
Organization Name | COMMACK CONSULTATION CENTER |
Practice Address |
66 Harned Rd Commack NY 11725-3527 |
Practice Telephone | 16315438577 |
Mailing Telephone | 16315438577 |
Enumeration Date | 2017-07-14 |
Last Update Date | 2017-07-14 |
Authorized Official Name | CAROL ANN KAUFMAN (OWNER/MANAGER) |
Authorized Official Telephone | 6315438577 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
008998 | NY | Behavioral Health & Social Service Providers |
Street Address |
66 HARNED RD |
City | COMMACK |
State | NY |
Zip Code | 11725-3527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225045511 | Steven Gordon | Social Worker | 66 Harned Rd, Ste 4, Commack, NY 11725-3527 | 2006-08-01 |
1962027946 | Linda Weber | Social Worker | 66 Harned Rd, Commack, NY 11725-3527 | 2020-06-15 |
1376949222 | Andrew Joseph Leo, Md P.C. | Orthopaedic Surgery | 66 Harned Rd, Commack, NY 11725-3527 | 2014-11-04 |
1457630899 | Jesu Jacob, D.o., P.C. | Orthopaedic Surgery | 66 Harned Rd, Commack, NY 11725-3527 | 2011-08-16 |
1194990895 | Jesu Jacob | Orthopaedic Surgery | 66 Harned Rd, Commack, NY 11725-3527 | 2008-04-24 |
1730209727 | Steven Howard Padnick | Psychologist | 66 Harned Rd, Commack, NY 11725-3527 | 2007-03-31 |
1629113766 | Melissa Levine | Psychologist | 66 Harned Rd, Suite 4, Commack, NY 11725-3527 | 2007-02-20 |
1720144900 | Linda Ganzenmuller | Psychologist | 66 Harned Rd, Commack, NY 11725-3527 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
Find all providers in zip 11725 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780933408 | Shana Kabert | Psychologist | 6 Trumpet Ln, Commack, NY 11725-2725 | 2012-09-10 |
1770842254 | Danielle Paige Bissett | Psychologist | 356 Veterans Hwy Ste 2, Commack, NY 11725-4332 | 2012-05-03 |
1639396161 | Zamir Korn | Psychologist | 631 Commack Rd, Commack, NY 11725-5400 | 2007-04-19 |
1518015650 | Susan Nissen | Psychologist | 25 Wiltshire Dr, Commack, NY 11725-3330 | 2007-01-08 |
1346314457 | Valerie Elise Silverberg | Psychologist | 356 Veteran Hwy, Commack, NY 11725 | 2006-11-20 |
1184706715 | Daniel Boyle | Psychologist | 5036 Jericho Tpke, Suite 203, Commack, NY 11725-2812 | 2006-10-20 |
1043238785 | Christine Marra | Psychologist | 358 Veterans Memorial Hwy Ste 9, Commack, NY 11725-4326 | 2006-07-18 |
1588698070 | Stephen Michael Guido | Psychologist | 35 Crooked Hill Rd, Suite 203-e, Commack, NY 11725-5415 | 2006-07-10 |
1649208752 | Stephen Lloyd Kaplan | Psychologist | 35 Crooked Hill Rd Ste 102, Commack, NY 11725-5415 | 2006-06-29 |
1760437255 | Sharon C. Leon | Psychologist | 145 Commack Rd, Suite 13, Commack, NY 11725 | 2006-05-23 |
Find all providers in COMMACK |
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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.