DR. MARJORIE S. MALTIN (NPI# 1538287164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538287164 |
| Entity Type | Individual |
| Full Name | DR. MARJORIE S. MALTIN |
| Credential | ED.D. |
| Practice Address |
102 Cypress Dr Woodbury NY 11797-1522 |
| Practice Telephone | 5163673490 |
| Mailing Telephone | 5163673490 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6150 | NY | Behavioral Health & Social Service Providers |
| Street Address |
102 CYPRESS DR |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407973860 | Lawrence J. Maltin, M.d.,p.c. | Specialist | 102 Cypress Dr, Woodbury, NY 11797-1522 | 2007-03-23 |
| 1023351145 | Lawrence Joel Maltin | Psychiatry & Neurology | 102 Cypress Dr, Woodbury, NY 11797-1522 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| 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 |
|---|---|---|---|---|
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1073027587 | Victor Counseling and Consultant Services, LLC | Psychologist | 6043 Hudson Rd Ste 355, Woodbury, MN 55125-1017 | 2017-11-20 |
| 1720492671 | Stephanie Milz | Psychologist | 721 Commerce Drive, Woodbury, MN 55125 | 2014-06-19 |
| 1790015568 | Laura Elizabeth Accomando | Psychologist | 6043 Hudson Rd Ste 290, Woodbury, MN 55125-1002 | 2009-12-30 |
| 1437488475 | Beth M Lutz | Psychologist | 7616 Currell Blvd Ste 190, Woodbury, MN 55125-8202 | 2009-12-22 |
| 1518132737 | Brenda Lynn Destache | Psychologist | 1976 Woodale Dr, Woodbury, MN 55125 | 2008-04-29 |
| 1780707059 | Ruth Cantor Mayer | Psychologist | 1080 Main St S, Suite 5, Woodbury, CT 06798-3810 | 2007-04-09 |
| 1477612992 | Stuart Pace | Psychologist | 35 Fairbanks Blvd, Woodbury, NY 11797-2603 | 2006-12-08 |
| 1215001136 | Therese Kohs Gilbertson | Psychologist | 2150 Radio Dr, Woodbury, MN 55125-9453 | 2006-11-20 |
| 1093804338 | Kathlyn Elvera Nelson | Psychologist | 7616 Currell Blvd Ste 280, Woodbury, MN 55125-2296 | 2006-10-12 |
| Find all providers in WOODBURY | ||||
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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.