MATTHEW J DORTONA PSYD, PLLC (NPI# 1386266658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386266658 |
Entity Type | Organization |
Organization Name | MATTHEW J DORTONA PSYD, PLLC |
Practice Address |
100 N Main St Ste 202 Elmira NY 14901-2901 |
Practice Telephone | 6077388887 |
Practice Fax Number | 8552095530 |
Mailing Telephone | 6077388887 |
Mailing Fax Number | 8552095530 |
Enumeration Date | 2020-05-10 |
Last Update Date | 2020-09-28 |
Authorized Official Name | MATTHEW J D'ORTONA (LICENSED PSYCHOLOGIST) |
Authorized Official Telephone | 6077388887 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
100 N MAIN ST STE 202 |
City | ELMIRA |
State | NY |
Zip Code | 14901-2901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942391206 | Matthew J D'ortona Jr. | Psychologist | 100 N Main St Ste 202, Elmira, NY 14901-2901 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
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Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912397845 | Family Services of Chemung County,inc. | Clinic/Center | 1019 E Water St, Elmira, NY 14901-3332 | 2015-01-30 |
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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.