DR. ANTHONY EDWARD BLUMETTI (NPI# 1245878966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245878966 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY EDWARD BLUMETTI |
| Credential | PH.D |
| Practice Address |
5100 W. Taft Road Suite 3b Liverpool NY 13088 |
| Practice Telephone | 3154525410 |
| Practice Fax Number | 3154525413 |
| Mailing Telephone | 3154525410 |
| Mailing Fax Number | 3154525413 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
004353 | NY | Behavioral Health & Social Service Providers |
| Street Address |
5100 W. TAFT ROAD SUITE 3B |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| 1902105273 | Nicole Marie Fetzer | Nurse Anesthetist, Certified Registered | 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088 | 2011-03-25 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316369416 | Jamie Bodenlos | Psychologist | 73 Cherry Tree Cir, Liverpool, NY 13090-2451 | 2014-01-09 |
| 1245312156 | Isabella Rauh Ivers | Psychologist | Isabella Rauh Ivers Phd, 600 Oswego Street Suite A, Liverpool, NY 13088 | 2006-10-19 |
| 1215019146 | Clifford Lawrence Ivers | Psychologist | 600 Oswego Street Suite A, Clifford Ivers Phd, Liverpool, NY 13088 | 2006-10-19 |
| 1235177783 | Mary Elizabeth Bartek | Psychologist | 890 7th North St, Suite 200, Liverpool, NY 13088-6558 | 2006-06-04 |
| 1265434914 | Joel N Caldwell | Psychologist | 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 | 2005-08-12 |
| 1154623395 | Theodore Morgan Nnaji | Psychologist | 7711 Oswego Rd, Liverpool, NY 13090-2322 | 2010-11-20 |
| 1235205196 | Family Partners In Psychological Health | Psychologist | 600 Oswego Street Suite A, Family Partners In Psychological Health, Liverpool, NY 13088 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.