CARROLL GRANT (NPI# 1558633883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558633883 |
| Entity Type | Individual |
| Full Name | CARROLL GRANT |
| Credential | PH.D. |
| Practice Address |
215 Bassett St Syracuse NY 13210-2113 |
| Practice Telephone | 3154724404 |
| Mailing Telephone | 3154724404 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002644-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
215 BASSETT ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669512398 | State of New York Comptrollers Office | Clinic/Center | 215 Bassett St, Syracuse, NY 13210-2113 | 2007-02-08 |
| 1396257523 | Charlene Mcnamara Barnes | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2017-10-27 |
| 1619305463 | Charissa Taylor | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2013-10-14 |
| 1255774493 | Sharon Zuis | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2013-04-08 |
| 1003169988 | Mlw Developmental Evaluation Center | Early Intervention Provider Agency | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-10-17 |
| 1538421912 | Theresa Priest Kiritsis | Specialist | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-06-12 |
| 1649530775 | Suny Upstate | General Acute Care Hospital | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-05-23 |
| 1770877458 | Jill Williams | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2011-05-31 |
| 1144520479 | Emily A Griswold | Social Worker | 215 Bassett St, Syracuse, NY 13210-2113 | 2010-11-03 |
| 1851538896 | Jennifer L Altimonda | Counselor | 215 Bassett St, Syracuse, NY 13210-2113 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168155 | Kristin M Neagle | Counselor | 420 East Genesee St, Syracuse, NY 13202-2129 | 2020-03-11 |
| 1376182881 | Staceyann Reid | Counselor | 2212 Erie Blvd E Suite C, Syracuse, NY 13244-0001 | 2019-12-31 |
| 1265091375 | Kevin Joseph Roche | Counselor | 32a Ball Rd, Syracuse, NY 13215-1602 | 2019-06-12 |
| 1356905996 | Niccole R Lorenzo | Counselor | 6181 Thompson Rd Ste 803, Syracuse, NY 13206-1435 | 2019-04-29 |
| 1194281972 | Melissa Button | Counselor | 132 Nichols Ave, Syracuse, NY 13206-3045 | 2019-02-16 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1033626601 | Daniel Cervantes | Counselor | 46 Ems D18 Ln, Syracuse, IN 46567-7907 | 2018-01-04 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1326436700 | Christine Matteson | Counselor | 1600 Teall Ave, Syracuse, NY 13206-3231 | 2015-01-07 |
| Find all providers in SYRACUSE | ||||
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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.