EDWARD LAKE


Address: 39 Lewis St, Ballston Spa, NY 12020-1925
Phone: 5188859863

EDWARD LAKE (NPI# 1427319409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427319409
Entity Type Individual
Full Name EDWARD LAKE
Credential NCSP
Practice Address 39 Lewis St
Ballston Spa
NY 12020-1925
Practice Telephone 5188859863
Mailing Telephone 5188859863
Enumeration Date 2012-06-06
Last Update Date 2012-06-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Providers EDWARD LAKE

NPI Name Taxonomy Address Enumeration
1790820587 Edward William Lake Dentist 313 E High St, Potosi, MO 63664-1924 2007-02-20
1962456822 Edward C. Lake Jr. Obstetrics & Gynecology 235 E Chicago St, Coldwater, MI 49036-1783 2006-05-22
1336131101 Edward Lake Internal Medicine 855 N Westhaven Dr, Oshkosh, WI 54904-7668 2005-08-18

Office Location

Street Address 39 LEWIS ST
City BALLSTON SPA
State NY
Zip Code 12020-1925

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1528542255 Mary Szacik Social Worker 2452 Us Rt. 9, Suite 206, Malta, NY 12020 2018-09-19
1669966867 Adam Smatko Social Worker 2452 Us Route 9, Suite 206, Malta, NY 12020 2018-06-20
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1932656527 Matthew Kattell Physical Therapist 4102 Ellsworth Boulevard, Malta, NY 12020 2016-09-01
1295134740 Nnenna Lindsay Psychologist 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 2014-08-21
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588212559 Reid Keefe Psychologist 220 Ballston Ave, Ballston Spa, NY 12020-3606 2019-09-03
1235428715 Chelsea Cangeleri Psychologist 210 Ballston Ave, Ballston Spa, NY 12020-3606 2011-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860612 Zoe Spiegel Psychologist 20 Harding Dr, New Rochelle, NY 10801-4610 2020-10-28
1053910059 Erin Elizabeth Gurdineer Psychologist 131 South Third St, Northville, NY 12134-0608 2020-10-21
1114534310 Alana May Sandberg Psychologist 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 2020-09-30
1437766177 Danielle Brudner Psychologist 18 Cygnet Rd, Congers, NY 10920-1790 2020-09-27
1023624145 Karleen Marie Gabriel Psychologist 35 Steven Pl, Smithtown, NY 11787-5419 2020-09-23
1730795832 Erin A Hyle Psychologist 9 Maywood Ave, Rye Brook, NY 10573-2401 2020-09-23
1083220826 Tina Ruggiero Psychologist 61 Fox Ct, Manorville, NY 11949-2613 2020-09-17
1952917650 Margaret Jane Willard Psychologist 167 15th St Apt 2l, Brooklyn, NY 11215-4849 2020-09-17
1902410137 Dana Levine Psychologist 7 Chester Dr, Great Neck, NY 11021-4904 2020-09-04
1871107946 Michele D Jefferson Psychologist 66 Main St Apt 525, Yonkers, NY 10701-8853 2020-09-04
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Competitor

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City BALLSTON SPA
Zip Code 12020

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Dataset Information

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.

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