MICHELLE BERLISS (NPI# 1629098983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629098983 |
| Entity Type | Individual |
| Full Name | MICHELLE BERLISS |
| Credential | PHD |
| Practice Address |
106 S Perry St Ste 4 Watkins Glen NY 14891-1615 |
| Mailing Address |
22 Graycliff Dr Elmira NY 14903-7971 |
| Practice Telephone | 6075358282 |
| Practice Fax Number | 6075358284 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
015076 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 06800015076LI | 05 |
| Street Address |
106 S PERRY ST STE 4 |
| City | WATKINS GLEN |
| State | NY |
| Zip Code | 14891-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003869165 | Schuyler County Mental Health | Psychologist | 106 S Perry St, Ste 4, Watkins Glen, NY 14891-1615 | 2006-05-18 |
| 1346880986 | Lexy Newell Smith | Social Worker | 106 S Perry St, Watkins Glen, NY 14891-1636 | 2020-01-12 |
| 1437624657 | Catherine Mae Lodge | Registered Nurse | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2018-10-04 |
| 1841780673 | Beth Lovejoy | Social Worker | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2018-05-17 |
| 1609301977 | Chelsea Bailey | Public Health or Welfare | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2017-04-25 |
| 1013360577 | Ashleigh Wedding | Social Worker | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2016-07-20 |
| 1265885941 | Cori Delgrosso | Registered Nurse | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2016-07-19 |
| 1912385576 | Wendy Drake | Case Manager/Care Coordinator | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2015-05-14 |
| 1871994392 | Shelley Beaumont | Registered Nurse | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2014-09-16 |
| 1619376928 | Karen Andrus | Social Worker | 106 S Perry St, Watkins Glen, NY 14891-1615 | 2014-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644261 | Meghan Walker | Registered Nurse | Schuyler County Public Health, 106 S. Perry Street, Watkins Glen, NY 14891 | 2019-02-08 |
| 1952854036 | Joshua Lee Haentges | Dentist | 703 S. Decator St., Watkins Glen, NY 14891 | 2016-07-26 |
| 1659615235 | Nikole Daniela Piper | Case Manager/Care Coordinator | 203 Twelfth Street, Watkins Glen, NY 14891 | 2012-11-20 |
| 1720284235 | Seneca Dental Assoc | Dentist | 215 7th St., Watkins Glen, NY 14891 | 2007-06-22 |
| 1689732356 | Hubert E Letteer | Chiropractor | 1005 N Decatur St, Watkins Glen, NY 14891 | 2006-12-05 |
| 1598839300 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mental Illness | 203 12th Street, Watkins Glen, NY 14891 | 2006-11-20 |
| 1609827377 | Yasmeen A Moody Md PC | Plastic Surgery | 1 First Street, Watkins Glen, NY 14891 | 2006-05-15 |
| 1164880795 | Jaime Lynn Cunningham | Case Manager/Care Coordinator | 203 Twelfth Street, Watkins Glen, NY 14891 | 2016-02-10 |
| 1497096572 | Amanda Josephine Jakubowicz | Case Manager/Care Coordinator | 203 Twelfth Street, Watkins Glen, NY 14891 | 2013-03-14 |
| 1497951057 | John H Nguyen | Dentist | 215 7th St, Watkins Glen, NY 14891 | 2007-06-21 |
| Find all providers in zip 14891 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609975564 | Kevin Stewart Field | Psychologist | 221 N Franklin St, Suite 200, Watkins Glen, NY 14891-1273 | 2006-09-21 |
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|---|---|---|---|---|
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| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | WATKINS GLEN |
| Zip Code | 14891 |
Please comment or provide details below to improve the information on MICHELLE BERLISS.
| 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.