KRISTIN O'KANE


Address: 100 Intrepid Ln Ste 2, Syracuse, NY 13205-2546
Phone: 3157976241

KRISTIN O'KANE (NPI# 1710369673) 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) 1710369673
Entity Type Individual
Full Name KRISTIN O'KANE
Credential LMSW
Practice Address 100 Intrepid Ln Ste 2
Syracuse
NY 13205-2546
Mailing Address 5365 Tourmaline Dr
Clay
NY 13041-8973
Practice Telephone 3157976241
Mailing Telephone 3157251927
Enumeration Date 2015-06-26
Last Update Date 2020-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 023598-01 NY Behavioral Health & Social Service Providers
N 104100000X Social Worker 083994-1 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2608 Genesee St, Utica, NY 135026003 3157976241

Office Location

Street Address 100 INTREPID LN STE 2
City SYRACUSE
State NY
Zip Code 13205-2546

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710473707 Michelle E Case Social Worker 2610 S Salina St Ste 2, Syracuse, NY 13205 2018-07-02
1104332022 Gregory Ramsden Chiropractor 182 Intrepid Ln Ste B, Syracuse, NY 13205 2017-12-15
1619379286 Hope for Us Housing, Inc Home Health 5957 South Salina St, Syracuse, NY 13205 2014-09-25
1861822116 Michael Lee Loudner Registered Nurse 4842 Broad Rd, Syracuse, NY 13205 2013-11-24
1285987537 Teeatta Owens Licensed Practical Nurse 114 Mcclure Ave, Syracuse, NY 13205 2012-10-24
1891082533 Kamaloshini Poovalingam Student in an Organized Health Care Education/Training Program 211 Lafayette Road, 604, Syracuse, NY 13205 2011-07-01
1730483348 Kenneth E. Hoogs Md PC Urology 100 Intrepid Lane, Syracuse, NY 13205 2010-12-23
1699092361 Central Park Nursing Care 4905 S Salina St., Syracuse, NY 13205 2010-04-21
1215170741 Toni Ramele Moore Licensed Practical Nurse 614 W. Seneca Turnpike, Syracuse, NY 13205 2009-04-14
1851536080 Shalanda Cherrise Sutton Licensed Practical Nurse 228 W. Lafayette Rd, Syracuse, NY 13205 2008-12-02
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912505967 Tracy Lynn Clouthier Psychologist 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 2020-10-13
1720600554 Jeanne Alyce Shapiro Psychologist 150 E Fayette St Apt 406, Syracuse, NY 13202-1649 2020-05-14
1306499728 Eileen E Fitzpatrick Psychologist 4290 Fay Rd, Syracuse, NY 13219-3045 2019-07-24
1134608334 Jill Erin Majeski Psychologist 1 Childrens Cir, Syracuse, NY 13210-1634 2018-08-08
1912327495 Afton N. Kapuscinski Psychologist 804 University Ave Ste 201, Syracuse, NY 13244-2340 2014-04-23
1750666830 Christine L Tyrrell-baker Psychologist 220 Herald Place, 4th Floor, Syracuse, NY 13202-5002 2011-10-20
1114186012 Kelly Marleah Harrington Psychologist 300 Audubon Pkwy Apt 94, Syracuse, NY 13224-1245 2008-06-05
1720137169 Alice S Honig Psychologist 317 Allen St, Syracuse, NY 13210-1344 2007-01-08
1295811198 Mark A Matloff Psychologist 409 Standish Drive, Syracuse, NY 13224 2006-10-31
1851477095 Pamela V Percival Psychologist 2100 East Genessee Street, Syracuse, NY 13214 2006-10-31
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13205

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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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