MRS. ERICA ILENE FOLLICK (NPI# 1760642060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760642060 |
Entity Type | Individual |
Full Name | MRS. ERICA ILENE FOLLICK |
Credential | MHC |
Practice Address |
3340 Manchester Road Wantagh NY 11793 |
Practice Telephone | 5167850323 |
Practice Fax Number | 5167856026 |
Mailing Telephone | 5167850323 |
Mailing Fax Number | 5167856026 |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
0040191 | NY | Behavioral Health & Social Service Providers |
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0127481 | NY | Behavioral Health & Social Service Providers |
Street Address |
3340 MANCHESTER ROAD |
City | WANTAGH |
State | NY |
Zip Code | 11793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
1003146119 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 2957 Burns Avenue, Wantagh, NY 11793 | 2010-01-12 |
Find all providers in zip 11793 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356628317 | John D. Mayers Jr. | Psychologist | 2850 N Jerusalem Rd, Wantagh, NY 11793-1125 | 2011-11-04 |
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1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
1770180325 | Jonathan Rosen | Psychologist | 1760 2nd Ave Apt 18a, New York, NY 10128-5392 | 2020-10-07 |
1245837855 | Aunree J. Houston | Psychologist | 400 W 37th St Apt 10y, New York, NY 10018-5631 | 2020-10-06 |
1255944377 | Mindwell Center, LLP | Psychologist | 950 Danby Rd Ste 202f, Ithaca, NY 14850-5714 | 2020-08-28 |
1417575754 | Donato Vaccaro | Psychologist | 40 Deerfield Ave, Eastchester, NY 10709-3805 | 2020-07-13 |
1902432511 | Nancy Langdon | Psychologist | 410 Fort Salonga Rd, Northport, NY 11768-3046 | 2020-03-14 |
1386281376 | Grand Central Psychology Pllc | Psychologist | 50 E 42nd St Rm 1807, New York, NY 10017-5402 | 2019-12-09 |
1730722232 | Shimon N Littman | Psychologist | 495 W 187th St Apt 5e, New York, NY 10033-1521 | 2019-10-28 |
1821645367 | Rd Community Services LLC | Psychologist | 1049 38th St Ste B, Brooklyn, NY 11219-1012 | 2019-08-20 |
1881250041 | New Perspective Psychological Services | Psychologist | 1170a Ocean Ave, Brooklyn, NY 11230-1904 | 2019-05-14 |
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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.