DR. JACK WILTSHIRE SR. (NPI# 1730480294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730480294 |
| Entity Type | Individual |
| Full Name | DR. JACK WILTSHIRE SR. |
| Credential | PSY. D. |
| Practice Address |
2 Eugene L Brown Dr New Paltz NY 12561-3946 |
| Mailing Address |
20 Sundown Dr Walden NY 12586-3012 |
| Practice Telephone | 8452568480 |
| Mailing Telephone | 8455679293 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
008762 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2 EUGENE L BROWN DR |
| City | NEW PALTZ |
| State | NY |
| Zip Code | 12561-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558662866 | Joseph Thomas Mccarthy | Counselor | 2 Eugene L Brown Dr, New Paltz, NY 12561-3946 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715978 | Kevin Melrick Medenilla Serrano | Physical Medicine & Rehabilitation | New Paltz Center for Rehabilitation and Nursing, 1 Jansen Road, New Paltz, NY 12561 | 2020-06-24 |
| 1720546211 | Jessica Joy | Counselor | 124 Main St Ste 8, New Paltz, NY 12561 | 2019-03-04 |
| 1720558315 | Maritday Rodriguez | Lactation Consultant, Non-RN | 41 Main St #1238, New Paltz, NY 12561 | 2018-11-27 |
| 1700373636 | Infinity Mental Health Counseling | Counselor | 7 Innis Street, New Paltz, NY 12561 | 2018-04-17 |
| 1851819494 | Meredith Johson | Counselor | 52 S. Manheim Blvd., New Paltz, NY 12561 | 2017-09-04 |
| 1396126645 | Suny New Paltz Student Health Service | Clinic/Center | I Hawk Drive, New Paltz, NY 12561 | 2015-06-12 |
| 1942579800 | Bruce R Mardiney | Social Worker | 175 Route 32 North, New Paltz, NY 12561 | 2011-12-22 |
| 1285938639 | Lara Savelson | Speech-Language Pathologist | 31 Sunset Ridge, New Paltz, NY 12561 | 2010-12-28 |
| 1194035832 | Sarah M Dietz | Occupational Therapist | 472 Springtown Rd., Apt A, New Paltz, NY 12561 | 2010-10-15 |
| 1235368762 | Woodland Pond, Inc | Skilled Nursing Facility | 100 Woodland Pond Circle, New Paltz, NY 12561 | 2009-07-06 |
| Find all providers in zip 12561 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758979 | Peter Adam Kaplan | Psychologist | 62 Rocky Hill Rd, New Paltz, NY 12561-3120 | 2007-05-14 |
| 1386707008 | Arnold J Weiner | Psychologist | 197 Huguenot St, New Paltz, NY 12561-1017 | 2006-12-18 |
| 1114098613 | Arnold Projansky | Psychologist | 2 Cicero Ave, New Paltz, NY 12561-2210 | 2006-11-13 |
| 1215903646 | Joette Warren | Psychologist | 160 Guilford Schoolhouse Rd, New Paltz, NY 12561-3507 | 2006-02-25 |
| 1013380773 | Meghan Lynch | Psychologist | 211 Main St., Suite 201, New Paltz, NY 12561 | 2015-11-03 |
| 1215211719 | T Grant Phd | Psychologist | 257 Main St, New Paltz, NY 12561-1610 | 2011-10-03 |
| 1457592818 | Orin A Strauchler | Psychologist | 47 Church St, New Paltz, NY 12561-1508 | 2009-03-16 |
| 1790966323 | Richard E. Ovens | Psychologist | 83 S Chestnut St, Suite 3, New Paltz, NY 12561-2740 | 2007-11-26 |
| 1275726531 | M Ronald Minge | Psychologist | 10 Main St, Suite 325, New Paltz, NY 12561-1762 | 2007-08-21 |
| 1598968703 | Laura Macdonald | Psychologist | 52 S Manheim Blvd, New Paltz, NY 12561-2406 | 2007-06-06 |
| Find all providers in NEW PALTZ | ||||
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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.