DR. MAX NISENBAUM (NPI# 1336542695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336542695 |
| Entity Type | Individual |
| Full Name | DR. MAX NISENBAUM |
| Credential | PH.D. |
| Practice Address |
75 Maiden Ln #346 New York NY 10038-4810 |
| Mailing Address |
75 Maiden Ln #220 New York NY 10038-4810 |
| Practice Telephone | 3479484995 |
| Mailing Telephone | 2129205816 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2017-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
020891 | NY | Behavioral Health & Social Service Providers |
| Street Address |
75 MAIDEN LN #346 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508807801 | Net 30, Inc. | Home Health | 75 Maiden Ln, 7th Floor Att: Kelvin Ng, New York, NY 10038-4819 | 2006-06-09 |
| 1144702713 | Abigail Mcguire | Speech-Language Pathologist | 75 Maiden Ln, New York, NY 10038-4810 | 2018-08-30 |
| 1306326905 | Michelle Andoy | Physical Therapist | 75 Maiden Ln, New York, NY 10038-4810 | 2018-08-14 |
| 1467958496 | Lauren Hoyt | Speech-Language Pathologist | 75 Maiden Ln, New York, NY 10038-4810 | 2018-03-30 |
| 1578080834 | Margaret Hoke Johnson | Speech-Language Pathologist | 75 Maiden Ln, New York, NY 10038-4810 | 2017-08-28 |
| 1700316494 | Stephanie Viola | Physical Therapist | 75 Maiden Ln, New York, NY 10038-4810 | 2017-06-14 |
| 1194250746 | Gotham Registry Incorporated | Home Health | 75 Maiden Ln, 7th Floor, New York, NY 10038-4810 | 2017-04-20 |
| 1093253536 | A Good Place Therapy By Kerrie Thompson, Lcsw, Pllc | Social Worker | 75 Maiden Ln, Ste 346, New York, NY 10038-4810 | 2017-02-04 |
| 1699212076 | Latavia Sturdivant | Speech-Language Pathologist | 75 Maiden Ln, New York, NY 10038-4810 | 2017-01-24 |
| 1881138915 | Chana Liebe Goldberg | Speech-Language Pathologist | 75 Maiden Ln, New York, NY 10038-4810 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
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| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
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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.