JONATHAN PEYTON (NPI# 1760020390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760020390 |
| Entity Type | Individual |
| Full Name | JONATHAN PEYTON |
| Practice Address |
17 N Plank Rd Ste 10 Newburgh NY 12550-2111 |
| Mailing Address |
17 N Plank Rd Newburgh NY 12550-2111 |
| Practice Telephone | 8045441086 |
| Practice Fax Number | 8448001470 |
| Mailing Telephone | 8045441086 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
17 N PLANK RD STE 10 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659896603 | The Caring Pt Group, Pllc | Physical Medicine & Rehabilitation | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-08-10 |
| 1003417221 | Daneshea Palmer | Psychologist | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2020-11-04 |
| 1326659988 | Henrietta U. Ilomudio | Psychologist | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2020-08-16 |
| 1093221525 | Ernest Nelson | Occupational Therapy Assistant | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-12-20 |
| 1881105427 | Eugennie Plummer- Edwards | Nurse Practitioner | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417221 | Daneshea Palmer | Psychologist | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2020-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834553 | Andrelle Julien | Psychologist | 227 Stewart St, Elmont, NY 11003-2345 | 2019-11-05 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1023675097 | Suhong Chen | Psychologist | 3613 212th St, Bayside, NY 11361-2048 | 2019-05-23 |
| 1871065524 | Richard Gray Sr. | Psychologist | 2033 Seagirt Blvd Apt 3g, Far Rockaway, NY 11691-2933 | 2018-12-19 |
| 1417438045 | Patricia Ann Barker | Psychologist | 4 Meleny Rd, Locust Valley, NY 11560-1220 | 2018-08-22 |
| 1720511413 | Christine Mary Silvestro | Psychologist | 480 Oakwood Dr, Southold, NY 11971-3211 | 2017-04-10 |
| 1336680313 | Shirley Joseph-ross | Psychologist | 109-46 172nd Street, Jamaica, NY 11433 | 2017-03-10 |
| 1568902336 | Hilda Ann Varghese | Psychologist | 26607 Union Tpke, New Hyde Park, NY 11040-1426 | 2017-02-27 |
| 1225482227 | Lolita Angelique Sherman-coyle | Psychologist | 165 Saint Marks Pl Apt 8m, 8m, Staten Island, NY 10301-1650 | 2016-04-16 |
| 1710362231 | Rhonisha Jeremiah-king | Psychologist | 237 E 92nd St Apt 1f, Brooklyn, NY 11212-1434 | 2015-07-27 |
| 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.