MR. STEPHEN COLLEEN (NPI# 1407000524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407000524 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN COLLEEN |
| Practice Address |
14379 Route 9w Ravena NY 12143 |
| Mailing Address |
537 Route 9w Glenmont NY 12077-3703 |
| Practice Telephone | 5187563124 |
| Practice Fax Number | 5187569476 |
| Mailing Telephone | 5184367888 |
| Mailing Fax Number | 5184629162 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
003906 | NY | Behavioral Health & Social Service Providers |
| Street Address |
14379 ROUTE 9W |
| City | RAVENA |
| State | NY |
| Zip Code | 12143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336392216 | Early Childhood Learning Center, Inc. | Early Intervention Provider Agency | 14379 Route 9w, Ravena, NY 12143-3703 | 2008-10-23 |
| 1164856878 | Alana Wickware | Specialist | 14379 Route 9w, Ravena, NY 12143 | 2013-08-29 |
| 1154664456 | Christene E Wenger | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2013-04-04 |
| 1700126406 | Laura Anne Gottesman | Speech-Language Pathologist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143 | 2013-02-18 |
| 1841555968 | Alice O Kearse | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-07-05 |
| 1528322468 | Marina Walsh | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-06-26 |
| 1699038794 | Pamela L Early | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-06-22 |
| 1063775211 | Janet M Barclay | Early Intervention Provider Agency | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-06-22 |
| 1396008900 | Susan Flanagan | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-06-19 |
| 1942563549 | Tricia Ann Kandefer | Specialist | 14379 Route 9w, Ravena, NY 12143-0000 | 2012-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817027 | Bryan Dyer | Pharmacist | Cvs - Faith Plaza, Route 9w, Ravena, NY 12143 | 2017-08-18 |
| 1124475553 | Brynn Saltis | Counselor | 249 Starr Rd., Ravena, NY 12143 | 2016-05-16 |
| 1346502135 | Stephanie Marie D'esposito | Specialist | 22 Wonder-vue Drive, Ravena, NY 12143 | 2012-06-08 |
| 1316224306 | Victoria Elizabeth Tesch | Speech-Language Pathologist | 15 Mountain Rd, Ravena-coeymans-selkirk Central School District, Ravena, NY 12143 | 2011-11-04 |
| 1245513001 | Patricia Lefevre | Registered Nurse | 2025 Rt 9w, Ravena, NY 12143 | 2011-09-27 |
| 1689957425 | Sandra Doane | Registered Nurse | 2025 Rt. 9w, Ravena, NY 12143 | 2011-09-27 |
| 1750604252 | Philip M Gatti | Pharmacist | Faith Plaza, Rt-9w, Ravena, NY 12143 | 2010-03-11 |
| 1043541105 | Brian J Touhey | Pharmacist | Faith Plaza Route 9w, Ravena, NY 12143 | 2010-01-28 |
| 1306016548 | Senior Projects of Ravena,inc | Taxi | 9 Bruno Blouvard, Ravena, NY 12143 | 2008-03-04 |
| 1891973558 | Kevin Michael Mocerine | Pharmacist | Faith Plaza Rt. 9w, Ravena, NY 12143 | 2008-02-05 |
| Find all providers in zip 12143 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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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.