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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 0068291 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MVP | 392974 | 01 |
NY | WORKERS COMPENSATION BOAR | 5068296B | 01 |
NY | 00639134 | 05 |
Street Address |
409 STANDISH DRIVE |
City | SYRACUSE |
State | NY |
Zip Code | 13224 |
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 |
Find all providers in zip 13224 |
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 |
---|---|---|---|---|
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 |
Find all providers in SYRACUSE |
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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.