LISA A MIXON (NPI# 1740550102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740550102 |
| Entity Type | Individual |
| Full Name | LISA A MIXON |
| Practice Address |
130 Lomond Ct Utica NY 13502-5951 |
| Practice Telephone | 3157244286 |
| Practice Fax Number | 3157244170 |
| Mailing Telephone | 3157244286 |
| Mailing Fax Number | 3157244170 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
2185967 | NY | Behavioral Health & Social Service Providers |
| Street Address |
130 LOMOND CT |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992724207 | Thomas Michael Lafountain | Chiropractor | 130 Lomond Ct, Utica, NY 13502-5951 | 2006-07-18 |
| 1669095444 | Paige Marie Pickard | Student in an Organized Health Care Education/Training Program | 130 Lomond Ct, Utica, NY 13502-5957 | 2020-05-27 |
| 1215575709 | Colleen Kelley | Occupational Therapy Assistant | 130 Lomond Ct, Utica, NY 13502-5957 | 2019-12-15 |
| 1558912493 | Marie Theresa Mccormick | Case Manager/Care Coordinator | 130 Lomond Ct, Utica, NY 13502-5957 | 2019-09-23 |
| 1063068211 | Jessalynn M Roman | Specialist | 130 Lomond Ct, Utica, NY 13502-5957 | 2019-08-14 |
| 1558831537 | Lauren Kimberly Bott | Physical Therapist | 130 Lomond Ct, Utica, NY 13502-5957 | 2018-12-03 |
| 1528548377 | Deborah Mott | Specialist | 130 Lomond Ct, Utica, NY 13502-5957 | 2018-08-20 |
| 1841779527 | Allison Jones | Occupational Therapist | 130 Lomond Ct, Utica, NY 13502-5957 | 2018-08-13 |
| 1811490725 | Mary Margaret Scalise | Physical Therapist | 130 Lomond Ct, Utica, NY 13502-5957 | 2018-03-16 |
| 1023522562 | Brianna Marie Scheening | Occupational Therapist | 130 Lomond Ct, Utica, NY 13502-5957 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366317 | Jennifer Paul Herkel | Psychologist | 130 Lomond Ct, Utica, NY 13502-5957 | 2017-06-13 |
| 1760809933 | Jamie Palczynski | Psychologist | 130 Lomond Ct, Utica, NY 13502-5951 | 2014-03-25 |
| 1972740033 | Melissa Diana | Psychologist | 245 Genesee St, Utica, NY 13501-3401 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
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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.