AMALIA ROSE SIRICA (NPI# 1619485323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619485323 |
Entity Type | Individual |
Full Name | AMALIA ROSE SIRICA |
Credential | LCSW |
Practice Address |
188 Woodbine Ave Northport NY 11768-2819 |
Practice Telephone | 6317489811 |
Mailing Telephone | 6317489811 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-01-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
086492 | NY | Behavioral Health & Social Service Providers |
Street Address |
188 WOODBINE AVE |
City | NORTHPORT |
State | NY |
Zip Code | 11768-2819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
Find all providers in zip 11768 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962017160 | Erin Guffey | Counselor | 12750 Mill Creek Dr, Northport, AL 35473-7882 | 2020-09-14 |
1639704133 | Moyacca Jones | Counselor | 650 Energy Center Blvd Ste 102, Northport, AL 35473-5802 | 2020-03-05 |
1073175428 | Lisa Danielle Hamada | Counselor | 15 Vista Dr, Northport, NY 11768-1923 | 2019-07-06 |
1578820114 | Crystal Deanna Redd | Counselor | 2611 Lily Way, Northport, AL 35473-1775 | 2012-04-20 |
1740569003 | Meredith Grace Morgan | Counselor | 1295 Atlantic Hwy, Northport, ME 04849-3600 | 2011-08-04 |
1740474816 | Takesha Monique Shannon | Counselor | 700 Energy Center Blvd, Suite 407, Northport, AL 35473-5827 | 2007-08-31 |
1720297617 | Dora Lupo | Counselor | 9 Blydenburgh Ct, Northport, NY 11768-2858 | 2007-05-21 |
1215152384 | Kim H Rodriguez | Counselor | 21 Turnip Hl, Northport, NY 11768-1650 | 2007-04-16 |
1871622696 | John B. Westervelt | Counselor | 40 Mar Kan Dr, Northport, NY 11768-1858 | 2007-03-05 |
1225116494 | Keith Parham Jr. | Counselor | 5690 Watermelon Rd Ste 310, Northport, AL 35473-5009 | 2006-11-02 |
Find all providers in NORTHPORT |
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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.