PETER DALLAS (NPI# 1609812817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812817 |
| Entity Type | Individual |
| Full Name | PETER DALLAS |
| Credential | PH.D. |
| Practice Address |
49 Marvin Ave Troy NY 12180-6425 |
| Mailing Address |
1 Old Country Rd Suite 271 Carle Place NY 11514-1801 |
| Practice Telephone | 5182736646 |
| Mailing Telephone | 8007256280 |
| Mailing Fax Number | 8007256380 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
008894-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01698342 | 05 |
| Street Address |
49 MARVIN AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295770683 | Troy Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 49 Marvin Ave, Troy, NY 12180-6425 | 2006-06-18 |
| 1982131611 | Clr Troy LLC | Skilled Nursing Facility | 49 Marvin Ave, Troy, NY 12180-6425 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549233 | Amelia Amin | Psychologist | 2855 Coolidge Hwy Ste 101, Troy, MI 48084-3215 | 2020-08-20 |
| 1316336506 | Krystle Charon Woods | Psychologist | 800 Stephenson Hwy Ste 250, Troy, MI 48083-1106 | 2015-01-12 |
| 1336409804 | Jenni Knowles, Ph.d., Lp, LLC | Psychologist | 200 E Big Beaver Rd # 116, Troy, MI 48083-1208 | 2012-05-18 |
| 1649550005 | Huilan Zhang | Psychologist | 2073 E Maple Rd, Troy, MI 48083-4493 | 2011-08-17 |
| 1205065182 | Shari Slebodnik | Psychologist | 1700 W Big Beaver Rd Ste 200, Troy, MI 48084-3524 | 2009-07-13 |
| 1134384274 | Rosalynn Marie Moten | Psychologist | 2215 Golfview Dr, Apt 202, Troy, MI 48084-3919 | 2008-07-28 |
| 1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
| 1043418098 | Warren Behavioral Care, Inc | Psychologist | 889 Elba Hwy, Troy, AL 36079-6017 | 2007-07-10 |
| 1225231160 | Christine Delange | Psychologist | 1700 W Big Beaver Rd, Suite 200, Troy, MI 48084-3530 | 2007-06-07 |
| 1912112657 | Edith Boswell | Psychologist | 2014 Laurel Dr, Troy, MI 48085-3821 | 2007-05-14 |
| Find all providers in TROY | ||||
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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.