WILLIAM A. BRYSON-BROCKMANN (NPI# 1730251968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730251968 |
| Entity Type | Individual |
| Full Name | WILLIAM A. BRYSON-BROCKMANN |
| Credential | PH.D. |
| Practice Address |
222 Station Plz N Suite 611 Mineola NY 11501-3808 |
| Practice Telephone | 5166634432 |
| Practice Fax Number | 5166634409 |
| Mailing Telephone | 5166634432 |
| Mailing Fax Number | 5166634409 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 009669 | NY | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
009669 | NY | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
009669 | NY | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
009669 | NY | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
009669 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI PPO | 0049693 | 01 |
| NY | EMPIRE BLUECROSS BLUESHIE | VA2061 | 01 |
| NY | VYTRA HEALTH PLAN | 118426 | 01 |
| NY | OXFORD HEALTH PLANS | AS1545 | 01 |
| Street Address |
222 STATION PLZ N SUITE 611 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334876 | Kevin John Curley Jr. | Internal Medicine | 222 Station Plz N, Suite 310, Mineola, NY 11501-3808 | 2005-05-27 |
| 1962024307 | Mohamed Moussa | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-05-08 |
| 1588285399 | Mitchell Pawlak | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-05-04 |
| 1295355691 | Lauren Bellavia | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-04-26 |
| 1821618554 | Alyssa Sherwill | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-04-22 |
| 1578121257 | Allison Ariniello | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-05-29 |
| 1376109397 | Joaquin Alejandro Cagliani | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Ste 300, Mineola, NY 11501-3893 | 2019-05-15 |
| 1013470459 | Anuj A Patel | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-04-11 |
| 1063974236 | Christine Nwaiser | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-04-04 |
| 1194208819 | Judi Mary Thomas | Physician Assistant | 222 Station Plz N, Mineola, NY 11501-3800 | 2018-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| 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 |
|---|---|---|---|---|
| 1407276207 | Laura Mcfarland Beren | Psychologist | 27 Violet Ave, Mineola, NY 11501-4622 | 2014-04-18 |
| 1467597260 | Stephen Andreopoulos | Psychologist | 143 Willis Ave, Ste 1, Mineola, NY 11501-2610 | 2007-02-20 |
| 1699781781 | John Heverin | Psychologist | 302 Willis Ave, Mineola, NY 11501-1521 | 2006-07-31 |
| 1568878494 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Psychologist | 222 Station Plz N, Suite 514, Mineola, NY 11501-3800 | 2014-07-11 |
| 1902158827 | Brianne M Gruber | Psychologist | 120 Mineola Blvd, Suite 460, Mineola, NY 11501-4064 | 2012-10-03 |
| 1790040046 | Amy Beth Rosenberg | Psychologist | 222 Station Plz N, Suite 514, Mineola, NY 11501-3800 | 2012-07-11 |
| 1245515402 | Sonia P Azevedo | Psychologist | 200 Emory Rd, Mineola, NY 11501-2363 | 2011-10-19 |
| 1871771790 | Nichole Leahna Adams | Psychologist | 132 Jefferson Ave, Lutheran Counseling Center, Mineola, NY 11501-2712 | 2008-02-01 |
| 1841415726 | Allison Elise Dubner | Psychologist | 300 Old Country Rd, Suite 251, Mineola, NY 11501 | 2007-04-16 |
| 1013063973 | Scott Barry Schnee | Psychologist | 222 Station Plz N, Suite 611, Mineola, NY 11501-3808 | 2007-01-25 |
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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.