DR. SCOTT F ULBERG


Address: 211 J.b. Wise Plaza, Watertown, NY 13601
Phone: 3157827445

DR. SCOTT F ULBERG (NPI# 1700297686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700297686
Entity Type Individual
Full Name DR. SCOTT F ULBERG
Credential M.D.
Practice Address 211 J.b. Wise Plaza
Watertown
NY 13601
Mailing Address 750 E Adams St
Syracuse
NY 13210-2306
Practice Telephone 3157827445
Practice Fax Number 3157791184
Mailing Telephone 3154643165
Mailing Fax Number 3154643178
Enumeration Date 2014-05-14
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
290899 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
750 E Adams St, Syracuse, NY 132102306 3154643165 3154643178

Office Location

Street Address 211 J.B. WISE PLAZA
City WATERTOWN
State NY
Zip Code 13601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831441344 Linda Macqueen Nurse Practitioner 211 J.b. Wise Plaza, Watertown, NY 13601 2012-10-08
1114534096 Taylor Freeman Licensed Practical Nurse 211 J.b. Wise Plaza, Watertown, NY 13601-1360 2020-09-25
1992316657 Michele Kolb Student in an Organized Health Care Education/Training Program 211 J.b. Wise Plaza, Watertown, NY 13601 2020-08-14
1518578368 Brieanna Lewis Student in an Organized Health Care Education/Training Program 211 J.b. Wise Plaza, Watertown, NY 13601-1360 2020-08-14
1982225256 Chika Francess Egorho Nurse Practitioner 211 J.b. Wise Plaza, Watertown, NY 13601 2020-04-28
1831720143 Kristen Eberly Social Worker 211 J.b. Wise Plaza, Watertown, NY 13601 2020-01-27
1376189118 Eunmi Park Counselor 211 J.b. Wise Plaza, Watertown, NY 13601 2019-11-26
1205495934 Lisa M Augustus Counselor 211 J.b. Wise Plaza, Watertown, NY 13601 2019-06-06
1417515552 Kourtney K Darrow Nurse Practitioner 211 J.b. Wise Plaza, Watertown, NY 13601 2019-06-04
1376022707 Angela Rotella Licensed Practical Nurse 211 J.b. Wise Plaza, Watertown, NY 13601 2018-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801414156 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 2020-07-13
1083231377 Katherine Anne Cahill Counselor 22679 Duffy Road, Watertown, NY 13601 2020-07-02
1851855431 Hanna Kearney Physical Therapist 20053 Summit View Blvd Ste 2, Watertown, NY 13601 2019-01-28
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1396137709 Daniel Ernest Morgan Neuromusculoskeletal Medicine & OMM 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 2015-02-21
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407896418 Michael F. Larson Psychiatry & Neurology 485 Arsenal St, Watertown, MA 02472-5091 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093327611 Adel Mostafavi, Md PC Psychiatry & Neurology 104 W 40th St Rm 400, New York, NY 10018-3692 2020-08-17
1023632015 Child and Adult Clinical Psychiatry PC Psychiatry & Neurology 75 Prospect St Ste 110, Huntington, NY 11743-3320 2020-06-04
1598306441 Place of Mind Child, Adolescent, and Adult Psychiatry P.C. Psychiatry & Neurology 240 Central Park S Apt 2h, New York, NY 10019-1435 2019-10-02
1881102267 Park Avenue Physicians PC Psychiatry & Neurology 5 W 86th St Apt 1b, New York, NY 10024-3663 2018-01-19
1518478080 Diego G. Calabria Physician P.C. Psychiatry & Neurology 366 N Broadway Ste 304, Jericho, NY 11753-2000 2017-10-23
1013426865 Bebsy Estefan Md PC Psychiatry & Neurology 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 2017-09-25
1902281629 Derek Rudge Psychiatry & Neurology 1051 Riverside Dr Rm 235, New York, NY 10032-1007 2015-07-23
1275918096 Dr Omar Bashayan Physician Pllc Psychiatry & Neurology 155 W 68th St Apt 1102, New York, NY 10023-5816 2015-07-22
1740676766 Maura E Tappen Psychiatry & Neurology 1860 South Ave, Rochester, NY 14620-4229 2015-04-07
1194119560 Krishen Persaud Psychiatry & Neurology Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 2015-03-24
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Competitor

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City WATERTOWN
Zip Code 13601

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Dataset Information

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.

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