MARY JO BURNS (NPI# 1326101643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326101643 |
| Entity Type | Individual |
| Full Name | MARY JO BURNS |
| Credential | PHD, APRN, BC-PMH |
| Practice Address |
110 E Chestnut St Rome NY 13440-2832 |
| Practice Telephone | 3153393597 |
| Practice Fax Number | 3153391844 |
| Mailing Telephone | 3153393597 |
| Mailing Fax Number | 3153391844 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | RN158632NY | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | VALUE OPTIONS | 121197 | 01 |
| NY | GHI | 3191621 | 01 |
| Street Address |
110 E CHESTNUT ST |
| City | ROME |
| State | NY |
| Zip Code | 13440-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212822 | Regina F Panzone | Optometrist | 110 E Chestnut St, Rome, NY 13440-2832 | 2005-08-11 |
| 1457414468 | Joseph F Femia Md PC | Eyewear Supplier (Equipment, not the service) | 110 E Chestnut St, Rome, NY 13440-2832 | 2006-12-19 |
| 1619988052 | Rome Optical Associates LLC | Eyewear Supplier (Equipment, not the service) | 110 E Chestnut St, Rome, NY 13440 | 2006-08-10 |
| 1386684942 | Joseph Frank Femia | Ophthalmology | 110 E Chestnut St, Rome, NY 13440-2832 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1326168410 | Elizabeth S Hudson | Psychologist | 17 Professional Ct Sw, Rome, GA 30165-2844 | 2007-03-30 |
| 1265567119 | Patricia D Dematteo | Psychologist | 202 S Levitt St, Rome, NY 13440-2910 | 2007-02-22 |
| 1629120340 | Timothy Smith | Psychologist | 413 E 2nd St, Rome, GA 30161-3109 | 2007-01-16 |
| 1831294370 | Dann Downey | Psychologist | 215 Broad St, Suite 201, Rome, GA 30161 | 2006-09-13 |
| 1538106869 | Robert Harold Connell | Psychologist | 1345 Redmond Road, Rome, GA 30165 | 2006-06-02 |
| 1962940817 | Lifesource of North Carolina | Psychologist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2017-02-10 |
| 1669801551 | Barbara Rubin | Psychologist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2013-11-01 |
| 1184961658 | Paul Schlachter | Psychologist | 1345 Redmond Road, Rome, GA 30165 | 2013-01-03 |
| 1942585955 | Leslie Joseph Szempruch | Psychologist | 101 W Liberty St, Rome, NY 13440-5717 | 2011-10-21 |
| 1235290701 | Elizabeth Austin | Psychologist | 106 E 5th Ave, Rome, GA 30161-3128 | 2006-12-12 |
| Find all providers in ROME | ||||
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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.