DR. AVA DORFMAN (NPI# 1609201250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609201250 |
| Entity Type | Individual |
| Full Name | DR. AVA DORFMAN |
| Credential | PH.D. |
| Practice Address |
200 Park Ave S Ste 1118a New York NY 10003-1503 |
| Mailing Address |
304 E 73rd St Apt 1f New York NY 10021-4431 |
| Practice Telephone | 3479164936 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 020235 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 020235 | NY | Behavioral Health & Social Service Providers |
| Street Address |
200 PARK AVE S STE 1118A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| 1184139776 | Matthew Pagirsky | Clinical Neuropsychologist | 130 E 63rd St Apt 10a, New York, NY 10065-7338 | 2017-12-05 |
| 1538685441 | Kim Busichio | Clinical Neuropsychologist | 952 5th Ave Apt 4a, New York, NY 10075-1749 | 2017-08-22 |
| 1316467020 | Danny Tam | Clinical Neuropsychologist | Dva 423 E 23rd St, New York, NY 10010 | 2017-06-23 |
| 1376078030 | David Sukiennik | Clinical Neuropsychologist | 175 W 72nd St Apt 6g, New York, NY 10023-3209 | 2017-05-01 |
| 1982147310 | Milestones Psychology Group Pllc | Clinical Neuropsychologist | 41 Madison Ave Ste 2536, New York, NY 10010-2202 | 2016-12-03 |
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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.