DR. MARK A MATLOFF


Address: 409 Standish Drive, Syracuse, NY 13224
Phone: 3154463101

DR. MARK A MATLOFF (NPI# 1295811198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295811198
Entity Type Individual
Full Name DR. MARK A MATLOFF
Credential PHD
Practice Address 409 Standish Drive
Syracuse
NY 13224
Practice Telephone 3154463101
Practice Fax Number 3154463101
Enumeration Date 2006-10-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 0068291 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY MVP 392974 01
NY WORKERS COMPENSATION BOAR 5068296B 01
NY 00639134 05

Office Location

Street Address 409 STANDISH DRIVE
City SYRACUSE
State NY
Zip Code 13224

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598329534 Judie Lyn Gordon-louison Registered Nurse 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 2019-04-25
1669942363 Julie E. Clonan Speech-Language Pathologist 3049 E. Genesee St., Syracuse, NY 13224 2018-11-26
1043604762 Heather Lynn Blum Licensed Practical Nurse 120 Niven Street, Syracuse, NY 13224 2015-03-19
1912226523 Florence Delisi Licensed Practical Nurse 2315 East Fayette St, Syracuse, NY 13224 2010-05-21
1336476563 Kimberlee Anne Difulio Licensed Practical Nurse 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 2009-11-09
1134371081 Amy Lynn Ezekiel Speech-Language Pathologist 3049 East Genesee Street, Syracuse, NY 13224 2008-10-22
1104951490 Daniel Stephen Delluomo Dentist 3175 East Genesee St, Suite 2, Syracuse, NY 13224 2007-02-23
1447317037 Fumiyo Hirano Social Worker 182 Edgehill Road, Syracuse, NY 13224 2007-01-02
1235222530 Bernadine Alese Martin Dentist 1125 Salt Springs Road, Syracuse, NY 13224 2006-10-02
1689633695 Steven Michael Kaplan Optometrist 2921 Erie Blvd East, Empire Vision Centers, Syracuse, NY 13224 2006-03-20
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912505967 Tracy Lynn Clouthier Psychologist 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 2020-10-13
1720600554 Jeanne Alyce Shapiro Psychologist 150 E Fayette St Apt 406, Syracuse, NY 13202-1649 2020-05-14
1306499728 Eileen E Fitzpatrick Psychologist 4290 Fay Rd, Syracuse, NY 13219-3045 2019-07-24
1134608334 Jill Erin Majeski Psychologist 1 Childrens Cir, Syracuse, NY 13210-1634 2018-08-08
1710369673 Kristin O'kane Psychologist 100 Intrepid Ln Ste 2, Syracuse, NY 13205-2546 2015-06-26
1912327495 Afton N. Kapuscinski Psychologist 804 University Ave Ste 201, Syracuse, NY 13244-2340 2014-04-23
1750666830 Christine L Tyrrell-baker Psychologist 220 Herald Place, 4th Floor, Syracuse, NY 13202-5002 2011-10-20
1114186012 Kelly Marleah Harrington Psychologist 300 Audubon Pkwy Apt 94, Syracuse, NY 13224-1245 2008-06-05
1720137169 Alice S Honig Psychologist 317 Allen St, Syracuse, NY 13210-1344 2007-01-08
1851477095 Pamela V Percival Psychologist 2100 East Genessee Street, Syracuse, NY 13214 2006-10-31
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Competitor

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City SYRACUSE
Zip Code 13224

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Dataset Information

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.

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