CAROLEE E ILTIS (NPI# 1710097076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710097076 |
| Entity Type | Individual |
| Full Name | CAROLEE E ILTIS |
| Practice Address |
510 Haight Avenue Ste 203 Spectrurm Behavioral Management Serv Inc Poughkeepsie NY 12603-2408 |
| Mailing Address |
20 Danis Avenue Poughkeepsie NY 12603-2408 |
| Practice Telephone | 8454859098 |
| Practice Fax Number | 8454858780 |
| Mailing Telephone | 8454853500 |
| Mailing Fax Number | 8454858780 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 015446 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEACON HEALTH STRAT | 1033150 | 01 | |
| AETNA | 7488652 | 01 | |
| MVP HEALTH CARE | 713312 | 01 |
| Street Address |
510 HAIGHT AVENUE STE 203 SPECTRURM BEHAVIORAL MANAGEMENT SERV INC |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528173945 | Brian J Minasian | Psychologist | 510 Haight Avenue, Suite 203 Spectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-19 |
| 1336259712 | Frances R Berman | Social Worker | 510 Haight Avenue, Suite 203 Spectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-30 |
| 1770699274 | Carol L Thompson | Social Worker | 510 Haight Avenue, Suite 203 Spectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-21 |
| 1346355765 | Sheldon M Krems | Psychologist | 510 Haight Avenue, Suite 102 Spectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-19 |
| 1316052731 | Yogesh M Shingala | Social Worker | 510 Haight Avenue, Suite 203 Spectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| 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 |
|---|---|---|---|---|
| 1770091365 | Deborah Ruben Sullum | Psychologist | 2 Miron Dr, Poughkeepsie, NY 12603-5021 | 2018-01-17 |
| 1922412659 | Robert W. Travis | Psychologist | 38 Firemens Way, Poughkeepsie, NY 12603-6519 | 2014-06-20 |
| 1326242256 | Ronald Robbins | Psychologist | 151 Academy St., Poughkeepsie, NY 12601 | 2007-06-13 |
| 1902989114 | Paul Oliver | Psychologist | 54 Ferris Lane, Poughkeepsie, NY 12601 | 2006-10-23 |
| 1679669287 | David Moshe Sullum | Psychologist | 2 Miron Drive, Poughkeepsie, NY 12603 | 2006-10-04 |
| 1891757134 | Kenneth M Pollock | Psychologist | Vassar Brothers Hospital, 45 Reade Pl, Poughkeepsie, NY 12601 | 2006-04-03 |
| 1013978493 | Sheila A Knights | Psychologist | 387 Hooker Ave # 5, Poughkeepsie, NY 12603-3631 | 2006-03-28 |
| 1649242371 | David Miller | Psychologist | 27 Hagan Dr, Poughkeepsie, NY 12603-5095 | 2006-02-06 |
| 1164492690 | John Patrick Nash | Psychologist | 2 Eden Ter, Poughkeepsie, NY 12601-4803 | 2006-01-26 |
| 1639650096 | Jennifer Brody | Psychologist | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-08-23 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
Please comment or provide details below to improve the information on CAROLEE E ILTIS.
| 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.