MRS. JUDITH BLACK BRANDZEL (NPI# 1538110341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538110341 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH BLACK BRANDZEL |
| Other Name | MRS. JUDITH L BLACK |
| Credential | MSW LSW BCD |
| Practice Address |
130 Allens Creek Office Pk Suite 100 Rochester NY 14618 |
| Practice Telephone | 5852442540 |
| Practice Fax Number | 5852711129 |
| Mailing Telephone | 5852442540 |
| Mailing Fax Number | 5852711129 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PR0201571 | NY | Behavioral Health & Social Service Providers |
| Street Address |
130 ALLENS CREEK OFFICE PK SUITE 100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1780230060 | Madeline August | Psychologist | 291 Plymouth Ave S Apt 6, Rochester, NY 14608-2238 | 2019-08-13 |
| 1568902682 | Katlyn D Rice | Psychologist | 200 E River Rd Fl 3, Rochester, NY 14623-1212 | 2017-03-08 |
| 1891231916 | Alisa K. Phelps, Ph.d., Psychologist, Pllc | Psychologist | 697 Highland Ave, Rochester, NY 14620-3119 | 2017-01-12 |
| 1578967956 | Mary Frances Maida | Psychologist | 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 | 2014-10-14 |
| 1689085037 | Carrie Gleason | Psychologist | 900 W University Dr Ste B-3, Rochester, MI 48307-1817 | 2014-05-19 |
| 1043561335 | Ken Wadum, Ed.d. Lp | Psychologist | 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 | 2012-09-26 |
| 1477839223 | Trica L. Peterson | Psychologist | 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 | 2011-10-25 |
| 1477866176 | Janette Lynn Funk | Psychologist | 1577 South Ave, Rochester, NY 14620-3914 | 2010-07-22 |
| 1174835714 | Barefootsouls-com Inc | Psychologist | 226 1st St, Rochester, MI 48307-2600 | 2010-07-12 |
| Find all providers in ROCHESTER | ||||
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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.