DR. KIMBERLY MACEK (NPI# 1295163665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295163665 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY MACEK |
| Credential | PHD |
| Practice Address |
1129 Northern Blvd Ste 404 Manhasset NY 11030-3022 |
| Practice Telephone | 9174855991 |
| Mailing Telephone | 9174855991 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
022035 | NY | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 283Q00000X | Psychiatric Hospital | Hospitals |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8045 Winchester Blvd Bldg 73, Queens Village, NY 114272195 | 7182643950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811382476 | Kimberly Macek | Counselor | 8 Phillips Ln, Mc Kees Rocks, PA 15136-1022 | 2015-03-31 |
| Street Address |
1129 NORTHERN BLVD STE 404 |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821318742 | Guruprasad Srinivas | Internal Medicine | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2010-06-02 |
| 1568085207 | David Alayev | Durable Medical Equipment & Medical Supplies | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2020-05-27 |
| 1003446709 | Ms Nutritional Wellness Pllc | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2020-01-22 |
| 1861032377 | Pro Nutrition Counseling Pllc | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2020-01-13 |
| 1699264986 | Acute Cardiac Care Pllc | Internal Medicine | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2018-05-02 |
| 1356854251 | Asal Hakim | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2017-11-14 |
| 1225325673 | Joshua David Levine | Emergency Medicine | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568738680 | Linda Sapanski Smith | Psychologist | 75 Plandome Rd Lowr Level, Manhasset, NY 11030-2303 | 2012-03-23 |
| 1164721718 | Melanie Sharon Levine | Psychologist | 36 Maple Pl, Suite 207, Manhasset, NY 11030-1976 | 2011-03-22 |
| 1477735389 | Karen Lynne Siegel | Psychologist | 444 Comunnity Drive Medical Center, Suite 301, Manhasset, NY 11030 | 2007-12-03 |
| 1871711127 | Roger A Pierangelo | Psychologist | 316 Park Ave, Manhasset, NY 11030-2417 | 2007-04-23 |
| 1215083456 | Lynn Hugger | Psychologist | 333 E Shore Rd Ste 206, Manhasset, NY 11030-2900 | 2007-01-27 |
| 1013071786 | Lisa Ann Foresto | Psychologist | 444 Community Dr., Suite # 306, Manhasset, NY 11030 | 2006-12-20 |
| 1699143867 | Alexa Weinberg | Psychologist | 585 Plandome Rd, Ste. 105a, Manhasset, NY 11030-1968 | 2015-09-04 |
| 1730514266 | Margaret M Mulligan | Psychologist | 400 Community Dr, Manhasset, NY 11030-3815 | 2013-09-03 |
| 1457603250 | Perry Josh Meltzer | Psychologist | 444 Community Dr, Suite 307, Manhasset, NY 11030-3803 | 2012-10-04 |
| 1841586823 | Jennifer Atencio-bacayon | Psychologist | 75 Plandome Rd, Manhasset, NY 11030-2303 | 2011-06-28 |
| Find all providers in MANHASSET | ||||
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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.