DR. ANN MAURINE PACKARD (NPI# 1720103351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720103351 |
| Entity Type | Individual |
| Full Name | DR. ANN MAURINE PACKARD |
| Credential | M.D. |
| Practice Address |
532 E 87th St New York NY 10128-7602 |
| Practice Telephone | 2127170896 |
| Practice Fax Number | 2127467323 |
| Mailing Telephone | 2127170896 |
| Mailing Fax Number | 2127467323 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
201035 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL LICENSE | 201035 | 01 |
| Street Address |
532 E 87TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295107183 | Spandana Nallapati | Pediatrics | 1510 Lexington Ave Apt 4n, New York, NY 10029-7154 | 2015-10-30 |
| 1275802811 | Icahn School of Medicine At Mount Sinai | Pediatrics | 500 7th Ave Fl 8, New York, NY 10018-4502 | 2011-12-28 |
| 1437471232 | Evelyn Gruss Lipper | Pediatrics | 505 E 70th St, 3rd Floor, New York, NY 10021-4872 | 2010-02-20 |
| 1851523070 | Jaeah Chung | Pediatrics | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2009-08-21 |
| 1376725382 | Mount Sinai School of Medicine | Pediatrics | 1 Gustave L Levy Pl, Box 1200, New York, NY 10029-6500 | 2007-11-30 |
| 1730384884 | Alison Brett Smoller | Pediatrics | 462 1st Ave, Third Floor, New York, NY 10016-9196 | 2007-06-19 |
| 1891916110 | Alan L Mendelsohn | Pediatrics | 550 1st Ave, Nyu School of Medicine, Dept. of Pediatrics Nbv 8s 4-11, New York, NY 10016-6402 | 2007-05-02 |
| 1053433961 | S Michael Vergara | Pediatrics | 37 W 26th St, New York, NY 10010-1006 | 2007-04-04 |
| 1629139647 | Candace Jean Erickson | Pediatrics | 5 W 86th St, Suite 9c, New York, NY 10024-3603 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746403 | Four Boroughs Aba | Pediatrics | 1344 E 24th St, Brooklyn, NY 11210-5143 | 2020-10-02 |
| 1447881735 | Jihee Chae | Pediatrics | 60 Wishing Ln, Hicksville, NY 11801-6423 | 2020-01-27 |
| 1235693730 | Sally Joanne Marotta Reed | Pediatrics | 5292 Cambria Rd, Sanborn, NY 14132-9412 | 2019-01-29 |
| 1063982817 | Jessica Elizabeth Sapio | Pediatrics | 125 Currier Ave, Sloan, NY 14212-2222 | 2018-12-04 |
| 1093293037 | Apf Therapeutic Services Inc | Pediatrics | 918 E 218th St Fl 1, Bronx, NY 10469-1006 | 2018-08-01 |
| 1679003552 | Lauren Jennifer Elchonen | Pediatrics | 18 N Cheryl St, Spring Valley, NY 10977-6510 | 2017-06-14 |
| 1770870040 | Aleeya Healey | Pediatrics | 391 Myrtle Ave Ste 3b, Albany, NY 12208-3835 | 2011-07-07 |
| 1205045309 | Bharati R Shah | Pediatrics | 9 Wilbur Rd, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| 1497964589 | Rohitkumar K Shah | Pediatrics | 9 Wilbur Road, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| 1801920392 | Stephen Scott Cowan | Pediatrics | 14 Smith Ave, Mount Kisco, NY 10549-2814 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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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.