DR. KARYN VACANTI-SHOVA (NPI# 1770854788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770854788 |
| Entity Type | Individual |
| Full Name | DR. KARYN VACANTI-SHOVA |
| Credential | PH.D., BCBA-D |
| Practice Address |
6 N Main St Suite 110 Fairport NY 14450-1524 |
| Mailing Address |
21600 Oxnard St Suite 1800 Woodland Hills CA 91367-4976 |
| Practice Telephone | 5853776590 |
| Practice Fax Number | 5853776605 |
| Mailing Telephone | 8183452345 |
| Mailing Fax Number | 8184490994 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
021154 | NY | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 000291 | NY | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-08-4553 | NY | Behavioral Health & Social Service Providers |
| Street Address |
6 N MAIN ST SUITE 110 |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518469956 | Michaela Schrader | Behavior Technician | 6 N Main St, Fairport, NY 14450-1524 | 2018-03-01 |
| 1740788207 | Megan Maley | Behavior Technician | 6 N Main St, Fairport, NY 14450-1524 | 2018-01-30 |
| 1275031049 | Antonio Bottos | Behavior Technician | 6 N Main St, Fairport, NY 14450-1524 | 2018-01-26 |
| 1235541129 | Felice Hill | Specialist | 6 N Main St, Suite 110, Fairport, NY 14450-1524 | 2014-05-27 |
| 1215355177 | Erin Fischer | Specialist | 6 N Main St, Suite 110, Fairport, NY 14450-1524 | 2014-03-28 |
| 1053738708 | Center for Autism and Related Disorders | Specialist | 6 N Main St, Suite 110, Fairport, NY 14450-1524 | 2014-03-19 |
| 1033536784 | Center for Autism and Related Disorders | Specialist | 6 N Main St, Suite 110, Fairport, NY 14450-1524 | 2014-03-19 |
| 1942622139 | Cynthia Robinson | Specialist | 6 N Main St, Fairport, NY 14450-1524 | 2014-01-08 |
| 1790107019 | Alyssa Canton | Specialist | 6 N Main St, Fairport, NY 14450-1524 | 2014-01-07 |
| 1154685683 | Teresa Leicht | Specialist | 6 N Main St, Fairport, NY 14450-1524 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023344405 | Richard W Millard | Psychologist | 760 Perinton Hls, Fairport, NY 14450-3615 | 2009-10-20 |
| 1932202736 | Paul Wheeler Howes | Psychologist | 420 Perinton Hills Office Park, Fairport, NY 14450-3609 | 2006-09-07 |
| 1609814524 | Ernesto Michelucci | Psychologist | 620 Crosskeys Office Park, Fairport, NY 14450-3508 | 2006-06-03 |
| 1013413202 | Payal Shah | Psychologist | 7700 Pittsford Palmyra Rd, Fairport, NY 14450-9590 | 2018-04-05 |
| 1447318431 | Susan Klein Newburge | Psychologist | 6800 Pittsford Palmyra Rd, Suite 135, Fairport, NY 14450-3584 | 2006-12-04 |
| 1528020161 | Sarah Kidd Farney | Psychologist | 6800 Pittsford Palmyra Rd, Suite 135, Fairport, NY 14450-3584 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
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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.