MIRANDA JEAN DEETZ (NPI# 1407403108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407403108 |
| Entity Type | Individual |
| Full Name | MIRANDA JEAN DEETZ |
| Practice Address |
600 Franklin St Ste 204 Schenectady NY 12305-2100 |
| Practice Telephone | 5183727031 |
| Mailing Telephone | 5183727031 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| Street Address |
600 FRANKLIN ST STE 204 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12305-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245679596 | Latchmi Cipriana | Registered Nurse | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2013-06-20 |
| 1689274599 | Donna Wyman-lewis | Registered Nurse | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2020-10-29 |
| 1972151579 | Lawrence Watson | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2019-08-28 |
| 1669935391 | Tarina Lee Mayo | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2019-04-10 |
| 1235614280 | Sydney E Foley | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2018-09-26 |
| 1124500152 | Cindy Reiner | Registered Nurse | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2018-09-06 |
| 1174036149 | Stephanie Bydairk | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-11-13 |
| 1740793710 | Jennifer Clemons | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-11-13 |
| 1952829426 | Paola Sposito | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598282527 | Alexa Eugena Cinque | Chiropractor | 252 Union St, Schenectady, NY 12305 | 2017-08-30 |
| 1245778778 | Owanna Akbur | Radiologic Technologist | 752 Bolivar Ave., Torre G-32, Apt. A-2, La Esperilla, SANTO DOMINGO 12305 | 2017-02-04 |
| 1154777514 | Susan Mackert | Social Worker | 530 Franklin St Fl 2, Schenectady, NY 12305 | 2016-05-04 |
| 1285873513 | Kathleen Rzant Sheppard | Occupational Therapist | 25 Lafayette St., Beginnings, Schnectady, NY 12305 | 2009-02-10 |
| 1043461759 | Jane Stephanie Gray | Massage Therapist | 670 Franklin St., Schenectady, NY 12305 | 2008-10-01 |
| 1336283316 | Vision Care Associates | Optometrist | 600 Franklin Street, Suite 101, Schenectady, NY 12305 | 2007-02-16 |
| 1841360740 | Visiting Nurse Service Association of Schenectady County | Home Health | 108 Erie Blvd, Schenectady, NY 12305 | 2006-11-08 |
| 1275631814 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 415 State St Wallace Bldg, Schenectady, NY 12305 | 2006-09-20 |
| 1710953369 | Schenectady Ophthalmology Assoc PC | Ophthalmology | 650 Franklin St, Schenectady, NY 12305 | 2006-02-24 |
| 1861478786 | Kimberly A Hostig | Social Worker | 426 Franklin St, Schenectady, NY 12305 | 2005-12-22 |
| Find all providers in zip 12305 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598322489 | Victor Marcellas Rose Jr. | Counselor | 2400 Albany St Apt 19, Schenectady, NY 12304-3306 | 2019-05-25 |
| 1467774141 | Ekanem E. Burke | Counselor | 2308 Barcelona Rd, Schenectady, NY 12309-5305 | 2010-02-22 |
| 1275602609 | Ashley L Pollock | Counselor | 2925 Hamburg St, Box 3, Schenectady, NY 12303-4343 | 2006-11-07 |
| 1194819854 | Carver Community Center of Schenectady, Inc. | Counselor | 846 State Street, Schenectady, NY 12307 | 2006-10-03 |
| 1972151579 | Lawrence Watson | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2019-08-28 |
| 1669935391 | Tarina Lee Mayo | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2019-04-10 |
| 1235614280 | Sydney E Foley | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2018-09-26 |
| 1174036149 | Stephanie Bydairk | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-11-13 |
| 1740793710 | Jennifer Clemons | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-11-13 |
| 1952829426 | Paola Sposito | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-09-06 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12305 |
Please comment or provide details below to improve the information on MIRANDA JEAN DEETZ.
| 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.