PRISCILLA VILLAVICENCIO (NPI# 1548664311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548664311 |
| Entity Type | Individual |
| Full Name | PRISCILLA VILLAVICENCIO |
| Practice Address |
140 Old Orangeburg Rd Orangeburg NY 10962-1157 |
| Practice Telephone | 9143631487 |
| Mailing Telephone | 9143631487 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019618 | NY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
019618 | NY | Behavioral Health & Social Service Providers |
| Street Address |
140 OLD ORANGEBURG RD |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386904 | Edward Richard Herman | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2006-02-22 |
| 1629696489 | Angela Cabble | Counselor | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-07-08 |
| 1558985150 | Faryal Majid Glootz | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-31 |
| 1538781653 | Charles Mathew | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-12 |
| 1720615933 | Kerry Ann Walsh | Registered Nurse | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-03-26 |
| 1922631662 | Margaret Bocage | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962 | 2020-02-21 |
| 1598310120 | Marlee Elizabeth Fickes | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-08-09 |
| 1720631963 | Moise Kenneth Belizaire | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-07-17 |
| 1356825202 | Kate Cingel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-09-17 |
| 1407341266 | Nashony Sappleton | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992063275 | Behavioral Diagnostics, LLC | Psychologist | 108 Stagecoach Ln, Orangeburg, SC 29118-2499 | 2012-04-24 |
| 1326091323 | Valerie Louise Holmstrom | Psychologist | 1205 Hutto St, Orangeburg, SC 29118-1454 | 2006-05-18 |
| 1356825202 | Kate Cingel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-09-17 |
| 1629584537 | Rochelle Tziona Schlachter | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2017-12-15 |
| 1831592609 | Jessica Rose Heschel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2014-10-07 |
| 1316223407 | Monica Carol Zweig | Psychologist | 140 Old Orangeburg Rd, Psychology Department, Orangeburg, NY 10962 | 2011-11-02 |
| 1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
| 1821237389 | Reuben Benjamin Ridgeway | Psychologist | 2323 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2009-02-06 |
| 1386894673 | Lindsay Werkheiser | Psychologist | 140 Old Orangeburg Rd, Building 60, Orangeburg, NY 10962-1157 | 2008-09-24 |
| 1922149459 | Wayne Robert Le Blanc | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2007-02-09 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
Please comment or provide details below to improve the information on PRISCILLA VILLAVICENCIO.
| 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.