AMANDA ELLISON (NPI# 1649816737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649816737 |
| Entity Type | Individual |
| Full Name | AMANDA ELLISON |
| Practice Address |
1607 Route 300 Newburgh NY 12550-1738 |
| Mailing Address |
1607 Route 300 Ste 1 Newburgh NY 12550-1740 |
| Practice Telephone | 8455676027 |
| Practice Fax Number | 8455676527 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800313 | Amanda Marie Ellison | Pharmacist | 21000 Western Ave, Olympia Fields, IL 60461-1935 | 2020-10-27 |
| 1881186575 | Amanda Rebecca Ellison | Physical Therapist | 10321 Champion Farms Dr, Louisville, KY 40241-6129 | 2018-05-30 |
| Street Address |
1607 ROUTE 300 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770689903 | Bert Cunin | Psychologist | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2006-09-15 |
| 1942524830 | Michael Jeffrey Mason | Counselor | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2010-03-21 |
| 1134304793 | Jamie Miller | Specialist | 1607 Route 300, Newburgh, NY 12550-1738 | 2008-01-02 |
| 1023206125 | Gloria Bent | Dietitian, Registered | 1607 Route 300, Newburgh, NY 12550-1738 | 2007-10-15 |
| 1376731919 | Yareliz Felix | Specialist | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2007-10-09 |
| 1205058088 | Elizabeth Mambondimumwe | Specialist | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2007-05-03 |
| 1710109400 | Marc Seif | Counselor | 1607 Route 300, Newburgh, NY 12550-1738 | 2007-05-03 |
| 1154543940 | Marilyn Mcdonald | Specialist | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2007-05-03 |
| 1083836811 | Leonie Genus Cowan | Dietitian, Registered | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2007-05-02 |
| 1235354234 | Peter Geller | Social Worker | 1607 Route 300, Ste 101, Newburgh, NY 12550-1738 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504665 | Catherine Marie Jacobsen, Lmhc, Pllc | Counselor | 1 Spring Square Business Park Unit 2, Newburgh, NY 12550-2566 | 2020-09-25 |
| 1316308828 | Laura Nathanson | Counselor | 1 Spring Square Business Park, Newburgh, NY 12550-2566 | 2016-03-10 |
| 1518331768 | Mind Over Matters, LLC | Counselor | 327 W Jennings St, Newburgh, IN 47630-1136 | 2015-11-25 |
| 1295128866 | Angelyn Elizabeth Galati | Counselor | 23 Grand St, Newburgh, NY 12550-5628 | 2015-03-06 |
| 1447656392 | Leesa Dannheiser | Counselor | 7399 S Shore Dr, Newburgh, IN 47630-1851 | 2014-11-04 |
| 1154730802 | Mary E Wilcox-romero | Counselor | 372 S Plank Rd Ste 7, Newburgh, NY 12550-2440 | 2014-08-07 |
| 1124361738 | Virginia Serviss | Counselor | 1297 Union Ave, Newburgh, NY 12550-1640 | 2013-04-02 |
| 1891069597 | Angelena Marie Schwengel | Counselor | 10800 Outer Lincoln Ave, Newburgh, IN 47630-8721 | 2012-02-28 |
| 1356661037 | Ketevan Gagnidze-mccormick | Counselor | 10 Bruce St, Newburgh, NY 12550-6602 | 2010-06-04 |
| 1902120215 | Melissa Moreno | Counselor | 400 Stony Brook Ct Ste 1, Newburgh, NY 12550-6522 | 2010-03-16 |
| Find all providers in NEWBURGH | ||||
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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.