PEDIATRIC PSYCHOLOGY & MEDICINE OF WESTERN NEW YORK, PLLC (NPI# 1588118954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588118954 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PSYCHOLOGY & MEDICINE OF WESTERN NEW YORK, PLLC |
| Practice Address |
2625 Harlem Rd Suite 205 Cheektowaga NY 14225-4031 |
| Mailing Address |
112 Bondcroft Dr Amherst NY 14226-3427 |
| Practice Telephone | 7168373415 |
| Mailing Telephone | 7168373415 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DR. TED ANDREWS (PHYSICIAN) |
| Authorized Official Telephone | 7168373415 |
| Authorized Official Credential | PHD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
012466 | NY | Behavioral Health & Social Service Providers |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
282479 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2625 HARLEM RD SUITE 205 |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141991 | Ramesh Luther | Internal Medicine | 2625 Harlem Rd, Cheektowaga, NY 14225-4031 | 2005-08-19 |
| 1710592449 | Kristin Connors | Nurse Practitioner | 2625 Harlem Rd, Cheektowaga, NY 14225-4031 | 2020-09-10 |
| 1669094140 | Abby Leigh Clulow | Physician Assistant | 2625 Harlem Rd, Cheektowaga, NY 14225-4031 | 2020-05-07 |
| 1942709357 | Marina Nicole Maslek | Physician Assistant | 2625 Harlem Rd, Cheektowaga, NY 14225-4031 | 2018-02-12 |
| 1427592195 | Four Seasons Medical of Wny PC | Clinic/Center | 2625 Harlem Rd, Ste 70, Cheektowaga, NY 14225-4031 | 2016-12-14 |
| 1689076986 | Ccs Oncology PC | Family Medicine | 2625 Harlem Rd, Suite 261, Cheektowaga, NY 14225-4031 | 2014-09-18 |
| 1508271214 | Jacqueline Siejka | Physician Assistant | 2625 Harlem Rd, Suite 160, Cheektowaga, NY 14225-4031 | 2014-06-23 |
| 1831467802 | Buffalo Minimally Invasive Weight Loss Surgical Solutions, Pllc | Surgery | 2625 Harlem Rd, Suite 160, Cheektowaga, NY 14225-4031 | 2011-12-06 |
| 1992017214 | Greater Buffalo Spine Care P.C. | Orthopaedic Surgery | 2625 Harlem Rd, Suite 160, Cheektowaga, NY 14225-4031 | 2010-07-02 |
| 1821226085 | Jamie L Koban | Nurse Practitioner | 2625 Harlem Rd, Suite 210, Cheektowaga, NY 14225-4031 | 2009-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746403 | Four Boroughs Aba | Pediatrics | 1344 E 24th St, Brooklyn, NY 11210-5143 | 2020-10-02 |
| 1447881735 | Jihee Chae | Pediatrics | 60 Wishing Ln, Hicksville, NY 11801-6423 | 2020-01-27 |
| 1235693730 | Sally Joanne Marotta Reed | Pediatrics | 5292 Cambria Rd, Sanborn, NY 14132-9412 | 2019-01-29 |
| 1063982817 | Jessica Elizabeth Sapio | Pediatrics | 125 Currier Ave, Sloan, NY 14212-2222 | 2018-12-04 |
| 1093293037 | Apf Therapeutic Services Inc | Pediatrics | 918 E 218th St Fl 1, Bronx, NY 10469-1006 | 2018-08-01 |
| 1679003552 | Lauren Jennifer Elchonen | Pediatrics | 18 N Cheryl St, Spring Valley, NY 10977-6510 | 2017-06-14 |
| 1295107183 | Spandana Nallapati | Pediatrics | 1510 Lexington Ave Apt 4n, New York, NY 10029-7154 | 2015-10-30 |
| 1275802811 | Icahn School of Medicine At Mount Sinai | Pediatrics | 500 7th Ave Fl 8, New York, NY 10018-4502 | 2011-12-28 |
| 1770870040 | Aleeya Healey | Pediatrics | 391 Myrtle Ave Ste 3b, Albany, NY 12208-3835 | 2011-07-07 |
| 1205045309 | Bharati R Shah | Pediatrics | 9 Wilbur Rd, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
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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.