DR. TRACY JACLYN KISNER (NPI# 1568693752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568693752 |
| Entity Type | Individual |
| Full Name | DR. TRACY JACLYN KISNER |
| Credential | PSY.D. |
| Practice Address |
1981 Marcus Ave Suite C119 New Hyde Park NY 11042-1038 |
| Practice Telephone | 5163903525 |
| Mailing Telephone | 5163903525 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 018203 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1981 MARCUS AVE SUITE C119 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457981979 | Integra Mltc Inc. | Health Maintenance Organization | 1981 Marcus Ave, New Hyde Park, NY 11042-2060 | 2020-01-23 |
| 1982130845 | Danielle Haynes | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-05-11 |
| 1427584747 | Nancy Nickerson | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-05-05 |
| 1639610090 | Wendy Suer | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-03-17 |
| 1811438583 | Nancy Martin | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-03-15 |
| 1427599521 | Deborah K Wentz | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-03-09 |
| 1346788551 | Cheryl Belton | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-02-08 |
| 1174060149 | Lisa Sacket | Social Worker | 1981 Marcus Ave, Suite C114, New Hyde Park, NY 11042-2060 | 2017-01-27 |
| 1720280050 | Jennifer Helaine Byrnes | Psychologist | 1981 Marcus Ave, Suite C-119, New Hyde Park, NY 11042-1038 | 2007-05-31 |
| 1093923815 | Julia Marks | Psychologist | 1981 Marcus Ave, Suite C119, New Hyde Park, NY 11042-1038 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| 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 |
|---|---|---|---|---|
| 1861917437 | Kenneth Mark Sossin | Psychologist | 1893 Stewart Ave, New Hyde Park, NY 11040-1623 | 2017-08-04 |
| 1831328277 | Andrea Elizabeth Mclaughlin | Psychologist | 1981 Marcus Ave Ste C102, New Hyde Park, NY 11042-1032 | 2009-07-07 |
| 1417006982 | Jeffrey J Felixbrod | Psychologist | 228 Birch Dr, New Hyde Park, NY 11040-2322 | 2007-01-10 |
| 1396849600 | Morton N Pardes | Psychologist | 21 Devonshire Dr, New Hyde Park, NY 11040-3637 | 2006-09-08 |
| 1497778484 | Diane Schneider | Psychologist | 132 Haddon Rd, New Hyde Park, NY 11040-1715 | 2006-07-25 |
| 1396790903 | Charles N. Kapotes | Psychologist | 111 Executive Drive, New Hyde Park, NY 11040-1015 | 2006-05-23 |
| 1255965182 | Chiroshri Bhattacharjee | Psychologist | 7649 Hewlett St, New Hyde Park, NY 11040-1429 | 2020-02-29 |
| 1093293821 | Olga Jablonka | Psychologist | 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 | 2018-08-03 |
| 1518481043 | Michal Barnea | Psychologist | 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042 | 2017-07-26 |
| 1376929026 | Amy Laura Nadel | Psychologist | 269-01 76th Avenue, Suite 255, New Hyde Park, NY 11040 | 2015-08-05 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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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.