TIFFANY ANN AVON (NPI# 1457833261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457833261 |
| Entity Type | Organization |
| Organization Name | TIFFANY ANN AVON |
| Practice Address |
1689 Route 22 Brewster NY 10509-4022 |
| Mailing Address |
20 Canterbury Ln Ridgefield CT 06877-1102 |
| Practice Telephone | 9149044499 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | TIFFANY ANN AVON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9178872783 |
| Authorized Official Credential | LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
020146 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 020146 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1129 Northern Blvd Ste 404, Manhasset, NY 110303022 | 9149044499 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | TIFFANY ANN AVON PSY.D, P.C. | 20 Canterbury Lane, Ridgefield, Connecticut 06877 |
| Street Address |
1689 ROUTE 22 |
| City | BREWSTER |
| State | NY |
| Zip Code | 10509-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302600 | Nicole Mason | Social Worker | 1689 Route 22, Brewster, NY 10509-4022 | 2020-09-25 |
| 1174158810 | Brianna Marie Martin | Counselor | 1689 Route 22, Brewster, NY 10509-4022 | 2020-03-03 |
| 1255977666 | Taylor Caitlyn Nyberg | Counselor | 1689 Route 22, Brewster, NY 10509-4022 | 2019-11-20 |
| 1235783697 | Melissa Mae Fuchs | Social Worker | 1689 Route 22, Brewster, NY 10509-4022 | 2019-07-24 |
| 1588224398 | Amanda Marie Mills | Social Worker | 1689 Route 22, Green Chimneys, Brewster, NY 10509 | 2019-06-14 |
| 1588222582 | Rebecca Ballinger | Counselor | 1689 Route 22, Brewster, NY 10509-4022 | 2019-06-04 |
| 1417411547 | Alexandria Vernile | Respite Care | 1689 Route 22, Brewster, NY 10509-4022 | 2019-01-23 |
| 1568936086 | Lauren Zottoli | Counselor | 1689 Route 22, Brewster, NY 10509-4022 | 2019-01-17 |
| 1265903397 | Jolene Marie Griggs | Counselor | 1689 Route 22, Brewster, NY 10509-4022 | 2018-12-16 |
| 1366912172 | Theresa Margaret O'halloran | Counselor | 1689 Route 22, Brewster, NY 10509-4022 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397322 | Civility Home Care, LLC | Home Health | 155 Main Street, Ste 104, Brewster, NY 10509 | 2018-12-16 |
| 1407353576 | Jeanne Mary Conte-klein | Registered Nurse | Old Route 6, Carmel, NY 10509 | 2018-04-06 |
| 1013442029 | Caremount Medical, PC | Optometrist | 2 International Blvd, Brewster, NY 10509 | 2017-04-27 |
| 1952758419 | Alison Gail Loewenstein | Dentist | 2410 Us 6, Brewster, NY 10509 | 2016-05-14 |
| 1083956726 | Joseph Francis Dursi | Surgery | Health Services Basic Sciences Building, New York Medical College, Valhalla, NY 10509 | 2013-03-20 |
| 1760726988 | Mallory Elizabeth Aquilino | Physical Therapist | 211 Clock Tower Commons Route 22, Brewster, NY 10509 | 2012-11-15 |
| 1114281375 | Francine M Santos | Specialist | 27 Highview Ter, Brewster, NY 10509 | 2012-07-02 |
| 1639436876 | Oak Tree Family Dental | Dentist | 2410 Rt. 6, Brewster, NY 10509 | 2012-04-12 |
| 1023387628 | Susan M Strain | Student in an Organized Health Care Education/Training Program | 30 Farm To Market Rd., Brewster Central Schools, Brewster, NY 10509 | 2011-12-28 |
| 1407125875 | Susan Chamberlain Norris | Speech-Language Pathologist | 31 Foggintown Road, Brewster, NY 10509 | 2011-12-14 |
| Find all providers in zip 10509 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316165640 | Phyllis Graves-cooper,ph.d.-psychologist LLC | Psychologist | 967 Route 22, Brewster, NY 10509-6561 | 2007-04-23 |
| 1982822482 | Robert Michael Godley | Psychologist | 1600 Route 22, Brewster, NY 10509-4014 | 2007-04-23 |
| 1740303940 | Michael John Nuccitelli | Psychologist | 2505 Carmel Ave Ste 210, Brewster, NY 10509-1122 | 2007-04-10 |
| 1801939178 | Nancy Gieseler Devor | Psychologist | 74 Old Bog Rd, Brewster, MA 02631-1560 | 2007-02-15 |
| 1598801920 | Joelle Ann Kelly | Psychologist | 23 Bay State Court, Brewster, MA 02631-2120 | 2007-01-30 |
| 1386017044 | Patrick William Ford | Psychologist | 3871 Danbury Rd, Suite 2e, Brewster, NY 10509-5416 | 2015-11-03 |
| 1689084709 | Random Thoughts Psychological Therapy P.C. | Psychologist | 1511 Route 22, Suite 128, Brewster, NY 10509-4020 | 2014-04-28 |
| 1720368723 | Kristine Fatzer Danback | Psychologist | 1511 Route 22, Suite 128, Brewster, NY 10509-4020 | 2011-08-22 |
| 1356652648 | Arnon Ben-yoseph | Psychologist | 1620 Rte 22, Brewster, NY 10509-4051 | 2010-07-01 |
| 1427374909 | Kara Elizabeth Neunzig | Psychologist | 1620 Route 22, Brewster, NY 06784 | 2010-04-09 |
| Find all providers in BREWSTER | ||||
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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.