DR. H. TAD TROUTMAN (NPI# 1356516652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356516652 |
| Entity Type | Individual |
| Full Name | DR. H. TAD TROUTMAN |
| Credential | PH.D. |
| Practice Address |
31 Oak St Suite 21 Patchogue NY 11772-2841 |
| Practice Telephone | 6315989217 |
| Practice Fax Number | 8665863157 |
| Mailing Telephone | 6315989217 |
| Mailing Fax Number | 8665863157 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
017613 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AFFINITY HEALTH PLAN | 1089280 | 01 |
| NY | 02981244 | 05 | |
| NY | AETNA | 60054 | 01 |
| Street Address |
31 OAK ST SUITE 21 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609838259 | Thomas J Mango Md PC | Specialist | 31 Oak St, Suite 3, Patchogue, NY 11772-2887 | 2006-04-06 |
| 1871818393 | Albert C Esposito | Podiatrist | 31 Oak St, Ste 8, Patchogue, NY 11772-2841 | 2010-03-29 |
| 1376732289 | Marci Ann Mirisola | Counselor | 31 Oak St, Suite 7, Patchogue, NY 11772-2841 | 2007-10-16 |
| 1346324241 | Colleen Jean Kalman | Social Worker | 31 Oak St, Suite 21, Patchogue, NY 11772-2841 | 2006-10-25 |
| 1235240367 | Peter Lynn Kingan | Psychologist | 31 Oak St, 21, Patchogue, NY 11772-2887 | 2006-08-31 |
| 1780794081 | Albert C Esposito | Podiatrist | 31 Oak St, Suite #8, Patchogue, NY 11772-2841 | 2006-08-30 |
| 1013951557 | Linda S Kline | Social Worker | 31 Oak St, Suite 14, Patchogue, NY 11772-2887 | 2006-06-15 |
| 1336182682 | Sandra A Dacunha | Specialist | 31 Oak St, Suite 27, Patchogue, NY 11772-2887 | 2006-06-14 |
| 1821031550 | Irene F Dashiell | Social Worker | 31 Oak St, Suite 14, Patchogue, NY 11772-2887 | 2006-06-13 |
| 1386601359 | Sultana Yasmin Rahman | Family Medicine | 31 Oak St, Suite # 3, Patchogue, NY 11772-2841 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952611923 | Audrey L Feldman | Psychologist | 440-14 Waverly Avenue, Waverly Avenue Clinic, Patchogue, NY 11772 | 2010-10-08 |
| 1033221338 | Matthew Bruce Pollack | Psychologist | 475 East Main Street, Suite 214, Patchogue, NY 11772 | 2006-08-31 |
| 1467651000 | Mary W Schultz | Psychologist | 475 E Main St, Patchogue, NY 11772 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
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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.