KIMBERLY ROSE PETERSON (NPI# 1467955724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467955724 |
| Entity Type | Individual |
| Full Name | KIMBERLY ROSE PETERSON |
| Credential | LMSW |
| Practice Address |
160 Howells Rd Bay Shore NY 11706-5320 |
| Mailing Address |
11 Spencer Ln Stony Brook NY 11790-3122 |
| Practice Telephone | 6316650229 |
| Mailing Telephone | 6313329286 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
100075 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Spencer Ln, Stony Brook, NY 117903122 | 6313329286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003624 | Kimberly Ann Peterson | Registered Nurse | 1108 Independence Ct, Atchison, KS 66002-9554 | 2020-11-07 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1134642572 | Kimberly Peterson | Counselor | 2592 W Santa Clara Dr, Meridian, ID 83642-4363 | 2017-07-18 |
| 1720402100 | Kimberly Peterson | Registered Nurse | 11300 Columbiana Canfield Rd, Suite E, Canfield, OH 44406-8485 | 2014-02-06 |
| 1285898825 | Kimberly Anne Peterson | Speech-Language Pathologist | 205 N 85th St, Wauwatosa, WI 53226-4603 | 2008-07-14 |
| 1013425602 | Kimberly Lauren Peterson | Student in an Organized Health Care Education/Training Program | 210 Avenue C, Danville, IL 61832-5410 | 2018-01-17 |
| 1104336668 | Kimberly A Peterson | Occupational Therapist | 1587 Myrtle Ave, Eureka, CA 95501-1453 | 2017-10-10 |
| 1538678263 | Kimberly Paige Peterson | Speech-Language Pathologist | 78 Hospital Rd, Macon, MS 39341-2490 | 2017-09-26 |
| 1265952626 | Kimberly Peterson | Registered Nurse | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-06-26 |
| 1407384233 | Kimberly Dianne Peterson | Social Worker | 1007 S Jefferson Way, Indianola, IA 50125-3221 | 2017-05-24 |
| Street Address |
160 HOWELLS RD |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962464834 | Cheryl E Zadek | Psychologist | 160 Howells Rd, Suite 2, Bay Shore, NY 11706-5320 | 2006-04-05 |
| 1154830107 | Craig Kaplan | Social Worker | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2017-09-21 |
| 1356865471 | Ronak Sudesh Rawal | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2017-07-31 |
| 1518487297 | Margaret Berger | Social Worker | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2017-06-22 |
| 1790229151 | Brett Adam Deutsch | Social Worker | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2016-12-05 |
| 1821545583 | The Marsh Group Counseling Services, LLC | Marriage & Family Therapist | 160 Howells Rd, Suite 7, Bay Shore, NY 11706-5320 | 2016-09-09 |
| 1811346182 | Danielle Mauro | Social Worker | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2016-06-08 |
| 1184008468 | Nanette Maria Gonzalez | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2015-07-16 |
| 1669863999 | Linda Girimonte | Counselor | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2015-02-09 |
| 1720480486 | Paul Lomangino | Social Worker | 160 Howells Rd, Bay Shore, NY 11706-5320 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366943284 | Collaborative Therapy of Long Island LLC | Counselor | 48 Muncey Rd, Bay Shore, NY 11706-5335 | 2018-02-26 |
| 1336541127 | Aaron S. Jenkins | Counselor | 29 W Lakeland St, Bay Shore, NY 11706-2623 | 2014-09-23 |
| 1952663130 | Gloria Barber | Counselor | 1137 Martinstein Ave, Bay Shore, NY 11706-2042 | 2012-06-13 |
| 1497040406 | Mary Ellen Peck | Counselor | 260 Montauk Hwy, Suite 8, Bay Shore, NY 11706 | 2011-06-17 |
| 1902123433 | Gina Polidoro-yodice | Counselor | 1155 Joselson Ave, Bay Shore, NY 11706-2033 | 2010-04-23 |
| 1538314885 | Nancy C Todd | Counselor | 47 Louisiana Ave, Bay Shore, NY 11706-4403 | 2008-11-28 |
| 1972632339 | Susan M La Sala | Counselor | 614 Asharoken Blvd, Bay Shore, NY 11706-6302 | 2007-03-03 |
| 1710095492 | Crista Lin Simonetti | Counselor | 269 W Main St, Bay Shore, NY 11706-8319 | 2006-08-25 |
| 1891800207 | Carin D. Winter | Counselor | 1444 5th Ave, Bay Shore, NY 11706 | 2006-08-19 |
| 1891324562 | Courtney Kay Ocasio | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2020-04-05 |
| Find all providers in BAY SHORE | ||||
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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.