DR. JACOB A SAMANDER (NPI# 1710078787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710078787 |
| Entity Type | Individual |
| Full Name | DR. JACOB A SAMANDER |
| Practice Address |
165 Main St Ossining NY 10562-4702 |
| Practice Telephone | 9149411263 |
| Mailing Telephone | 9149411263 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME63339 | FL | Other Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
44382 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04179026 | 05 |
| Street Address |
165 MAIN ST |
| City | OSSINING |
| State | NY |
| Zip Code | 10562-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467868 | Andrew Christopher Swiderski | Pediatrics | 165 Main St, Ossining, NY 10562-4702 | 2005-06-15 |
| 1861099970 | Paula Thamires Caetano | Dietitian, Registered | 165 Main St, Ossining, NY 10562-4702 | 2020-10-02 |
| 1215569777 | Open Door Family Medical Center, Inc. | Clinic/Center | 165 Main St, Ossining, NY 10562-4702 | 2020-02-12 |
| 1801428032 | Alicia Ruth Christian | Pediatrics | 165 Main St, Ossining, NY 10562-4702 | 2020-02-05 |
| 1467083535 | Lori-beth Villalobos | Health Educator | 165 Main St, Ossining, NY 10562-4702 | 2020-01-28 |
| 1770113102 | Leanna Rose D'agostino | Community Health Worker | 165 Main St, Ossining, NY 10562-4702 | 2020-01-24 |
| 1457991861 | Comprehensive Optometry Eyewear, Pllc | Optometrist | 165 Main St, Ossining, NY 10562-4702 | 2020-01-14 |
| 1205398286 | Tammie C Carey | Nurse Practitioner | 165 Main St, Ossining, NY 10562-4702 | 2019-04-01 |
| 1871064592 | Kristen Ruth Heavens | Physician Assistant | 165 Main St, Ossining, NY 10562-4702 | 2018-12-06 |
| 1437651783 | Jennifer O Molina | Social Worker | 165 Main St, Ossining, NY 10562-4702 | 2018-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013370600 | Zachary Vonderach | Optometrist | 217 N Highland Ave Apt 1308, Ossining, NY 10562 | 2016-03-31 |
| 1265824494 | Inese B. Cederbaums | Pharmacist | 105 Croton Av, Ossining, NY 10562 | 2015-02-25 |
| 1578902151 | Kevork Basmaci | Psychiatry & Neurology | 21 Grandview Ave, Ossining, NY 10562 | 2013-06-18 |
| 1831453893 | Laura Pizzuto Lividini | Specialist | 807 Syska Road, Ossining, NY 10562 | 2012-06-25 |
| 1700149622 | Madeline Alicea | Licensed Practical Nurse | 29 South Highland Ave, Ossining High School, Ossining, NY 10562 | 2012-06-18 |
| 1720363930 | Annette Marie Washington | Licensed Practical Nurse | 6 Washington Avenue, Ossining, NY 10562 | 2011-10-19 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1679883193 | Msaf Group LLC | Skilled Nursing Facility | 15 Spring Valley Road, Pharmacy, Ossining, NY 10562 | 2010-10-18 |
| 1770801045 | Ryford Estores | Licensed Practical Nurse | 9 Sparta View, Ossining, NY 10562 | 2010-05-12 |
| 1528386745 | Kimberly Alichia Mair | Licensed Practical Nurse | 35 Snowden Ave Apt 6r, Ossining, NY 10562 | 2010-05-12 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578902151 | Kevork Basmaci | Psychiatry & Neurology | 21 Grandview Ave, Ossining, NY 10562 | 2013-06-18 |
| 1710156054 | Etel Leybovich | Psychiatry & Neurology | 101 Morningside Dr, Ossining, NY 10562-3108 | 2008-02-20 |
| 1831318567 | Institute for Community Living, Inc. | Psychiatry & Neurology | 26 Ganung Dr, Ossining, NY 10562-3935 | 2007-04-24 |
| 1184783128 | Carol Luise Kessler | Psychiatry & Neurology | 15 Gates Ave, Ossining, NY 10562-2807 | 2006-12-06 |
| 1447334537 | Fady Hajal | Psychiatry & Neurology | 40 Croton Dam Road, Ossining, NY 10562 | 2006-10-25 |
| 1639260060 | James Anthony Davis | Psychiatry & Neurology | 29 Mystic Dr, Ossining, NY 10562-1965 | 2006-09-28 |
| 1023230190 | Stony Lodge Medical Group, P.C. | Psychiatry & Neurology | 40 Croton Dam Road, Ossining, NY 10562 | 2007-05-02 |
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| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1356955934 | Hillside Tms Pllc | Psychiatry & Neurology | 1575 Hillside Ave Ste 208, New Hyde Park, NY 11040-2501 | 2020-09-01 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1669096699 | Preserving Healthy Minds, Nurse Practitioner of Psychiatry Pllc | Psychiatry & Neurology | 493 Shoddy Hollow Rd, Middletown, NY 10940-7509 | 2020-06-05 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1972135416 | Cnypsychiatry | Psychiatry & Neurology | 1/2 Orange St Ste 2, Marcellus, NY 13108-1216 | 2020-02-12 |
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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.