DR. MYRA MALMED NATHAN (NPI# 1629125455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629125455 |
| Entity Type | Individual |
| Full Name | DR. MYRA MALMED NATHAN |
| Credential | PH.D. |
| Practice Address |
950 New Loudon Rd Suite 245 Latham NY 12110-2100 |
| Practice Telephone | 5187857360 |
| Practice Fax Number | 5187857360 |
| Mailing Telephone | 5187857360 |
| Mailing Fax Number | 5187857360 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 10227-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01667803 | 05 | |
| NY | VALUE OPTIONS | 137498 | 01 |
| Street Address |
950 NEW LOUDON RD SUITE 245 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215946975 | Charles D. Horowitz | Psychologist | 950 New Loudon Rd, Latham, NY 12110-2100 | 2006-08-05 |
| 1306233598 | Catherine Bauer Michaels | Psychologist | 950 New Loudon Rd, Suite 101, Latham, NY 12110-2100 | 2015-04-25 |
| 1851794077 | Cathleen Mcevoy-brown | Psychologist | 950 New Loudon Rd, Suite 101, Latham, NY 12110-2100 | 2014-10-01 |
| 1013323682 | Kathleen Fishman | Counselor | 950 New Loudon Rd, Suite 101, Latham, NY 12110-2100 | 2014-07-03 |
| 1558784785 | Christine Hebert | Dietitian, Registered | 950 New Loudon Rd, Suite 101, Latham, NY 12110 | 2014-01-23 |
| 1457568255 | Harlan Richard Juster | Psychologist | 950 New Loudon Rd, Latham, NY 12110-2100 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707759 | Andrew Petsche | Psychologist | 20 Century Hill Dr Ste 202, Latham, NY 12110-2198 | 2019-08-29 |
| 1740585462 | Jennifer E. Judge | Psychologist | 12 Century Hill Dr Ste 105, Latham, NY 12110-2123 | 2011-01-12 |
| 1902042724 | Jennifer Smitkin | Psychologist | 950 New Loudon Rd Ste 101, Latham, NY 12110 | 2008-12-29 |
| 1508943994 | Maureen Theresa Hannah | Psychologist | 26 Purtell Avenue, Latham, NY 12110 | 2006-11-01 |
| 1215946975 | Charles D. Horowitz | Psychologist | 950 New Loudon Rd, Latham, NY 12110-2100 | 2006-08-05 |
| 1144739954 | Corrina Duvall | Psychologist | 950 New Loudon Rd Ste 101, Latham, NY 12110-2100 | 2017-09-25 |
| 1740648815 | Elizabeth Baxter Piusz | Psychologist | 20 Century Hill Dr, Suite 202, Latham, NY 12110-2116 | 2016-02-04 |
| 1306233598 | Catherine Bauer Michaels | Psychologist | 950 New Loudon Rd, Suite 101, Latham, NY 12110-2100 | 2015-04-25 |
| 1184010035 | Joanne Malkani | Psychologist | 20 Century Hill Dr, Suite #202, Latham, NY 12110-2116 | 2015-04-07 |
| 1851794077 | Cathleen Mcevoy-brown | Psychologist | 950 New Loudon Rd, Suite 101, Latham, NY 12110-2100 | 2014-10-01 |
| Find all providers in LATHAM | ||||
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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.