NORTH COAST PSYCHOLOGICAL SERVICES, PLLC (NPI# 1588170971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588170971 |
| Entity Type | Organization |
| Organization Name | NORTH COAST PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
575 Underhill Blvd Ste 114 Syosset NY 11791-3431 |
| Practice Telephone | 5165513153 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | DR. CAROLYN E WALDECKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5165513153 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
022047 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
019641 | NY | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTH COAST PSYCHOLOGICAL SERVICES, PLLC | 575 Underhill Boulevard, Suite 114, Syosset, Ny 11791 |
| Street Address |
575 UNDERHILL BLVD STE 114 |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230177 | Kathleen Patricia Hurley | Psychologist | 575 Underhill Blvd Ste 114, Syosset, NY 11791-3436 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831667690 | Cara Flavia Bonuso | Psychologist | 525 Convent Rd, Syosset, NY 11791-3868 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996718 | Marlee Schwartz | Psychologist | 351 Manville Rd Ste 104&109, Pleasantville, NY 10570-2152 | 2020-06-14 |
| 1063031946 | Gwen Rachel Gordon Rothschild | Psychologist | 250 E Hartsdale Ave Ste 23, Hartsdale, NY 10530-3574 | 2020-04-10 |
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1578102513 | Anne Austin Weissenberger | Psychologist | 144 King St, Chappaqua, NY 10514-3499 | 2019-12-21 |
| 1114560398 | Alison Melville Locker | Psychologist | 375 Greenwich St Ste 812, New York, NY 10013-2376 | 2019-10-21 |
| 1417502543 | Norma Linda Doft | Psychologist | 295 Central Park W Ofc 4a, New York, NY 10024-3021 | 2019-08-06 |
| 1194387456 | Allison Canfield | Psychologist | Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-07-07 |
| 1043870728 | Sarah Donovan | Psychologist | 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 | 2019-06-16 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1063983757 | Miriam Shields | Psychologist | 13681 71st Rd, Flushing, NY 11367-1942 | 2018-12-06 |
| Find all providers with the same taxonomy | ||||
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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.