VISTA BEHAVIORAL HEALTH MEDICINE PLLC (NPI# 1770705188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770705188 |
| Entity Type | Organization |
| Organization Name | VISTA BEHAVIORAL HEALTH MEDICINE PLLC |
| Practice Address |
4245 Lakeville Rd Suite 4a Geneseo NY 14454 |
| Practice Telephone | 5852458640 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | DR. MUHAMMAD A ALI (OWNER) |
| Authorized Official Telephone | 5852458640 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4245 LAKEVILLE RD SUITE 4A |
| City | GENESEO |
| State | NY |
| Zip Code | 14454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206537 | Mary Elizabeth Kruppner | Registered Nurse | 4050 Avon Road, Geneseo, NY 14454 | 2011-12-15 |
| 1639305089 | Genesis Internal Medicine Pllc | Internal Medicine | 50 E South St., Suite 600, Geneseo, NY 14454 | 2009-05-29 |
| 1912175621 | Nicholas H. Noyes Memorial Hospital | Clinic/Center | 4616 Milllenium Dr, Geneseo, NY 14454 | 2008-02-15 |
| 1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| 1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
| 1306993761 | Karla L. Mulligan | General Practice | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office, Geneseo, NY 14454 | 2007-01-05 |
| 1902989338 | Heather A Dailor | Registered Nurse | 1 College Circle, Lauderdale Center for Health and Counseling, Geneseo, NY 14454 | 2006-10-21 |
| 1447331582 | Peter H. Cormack | Psychologist | Peter H. Cormack 4828 Lakeville Road, Geneseo, NY 14454 | 2006-10-17 |
| 1235227497 | Lauren Suzanne Rosella | Dentist | 3 Park Street, Doty Dental, Geneseo, NY 14454 | 2006-10-11 |
| 1417059361 | Meghan Kathleen Doherty | Physician Assistant | Lauderdale Student Health & Counseling,suny Geneseo, 1 College Circle, Geneseo, NY 14454 | 2006-09-02 |
| Find all providers in zip 14454 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669982617 | Vicente J Liz Defillo | Psychiatry & Neurology | 30 W 60th St Apt 1f, New York, NY 10023-7906 | 2017-10-04 |
| 1285079178 | Nidhi Sharoha | Psychiatry & Neurology | Po Box 1559, Stony Brook, NY 11790-0989 | 2013-05-06 |
| 1528378601 | Amanda Nicole Carrera-alvarez | Psychiatry & Neurology | 760 Broadway, Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2010-10-07 |
| 1013159771 | Reena Jaiswal | Psychiatry & Neurology | 180 E Main St Ste 201, Smithtown, NY 11787-2811 | 2009-03-27 |
| 1609025733 | David Bernal Edgcomb | Psychiatry & Neurology | 20 E 9th St # 4k, New York, NY 10003-5944 | 2008-09-12 |
| 1710153457 | Lisa Donohue | Psychiatry & Neurology | 227 Prospect Ave, Sea Cliff, NY 11579-1055 | 2008-05-02 |
| 1255541322 | Flavia Robotti | Psychiatry & Neurology | 247 3rd Ave Rm 401, New York, NY 10010-7454 | 2007-05-23 |
| 1730393208 | Matthew Frederick Romanelli | Psychiatry & Neurology | 315 S Highland Ave, Briarcliff Manor, NY 10510-2031 | 2007-05-10 |
| 1669684163 | Andrzej Maria Michalik | Psychiatry & Neurology | 72 Shawnee Ave, #5, Yonkers, NY 10710-5165 | 2007-05-04 |
| 1144432121 | Sarah Jane Fox | Psychiatry & Neurology | 210 West 89 Street, Apt. 1d, New York, NY 10024 | 2007-05-04 |
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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.