DR. LISA A DEDOMENICO (NPI# 1770875403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770875403 |
| Entity Type | Individual |
| Full Name | DR. LISA A DEDOMENICO |
| Practice Address |
65 Parrott Rd West Nyack NY 10994-1025 |
| Mailing Address |
68 E Sunnyside Ln Irvington NY 10533-1004 |
| Practice Telephone | 8456274829 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 017810 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184657751 | Lisa M. Dedomenico | Nurse Practitioner | 190 Welles St, Kingston, PA 18704-4968 | 2006-07-08 |
| Street Address |
65 PARROTT RD |
| City | WEST NYACK |
| State | NY |
| Zip Code | 10994-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912020041 | Erica Erlich | Occupational Therapist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2007-04-06 |
| 1770118036 | Karen Ramsey | Occupational Therapy Assistant | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2020-03-06 |
| 1023531068 | Kay Ellen Vitelli-hagan | Social Worker | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2017-07-21 |
| 1003266818 | Giovanna Ciccone | Occupational Therapist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2016-06-13 |
| 1265895585 | Lori Beth Herman | Specialist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2016-04-04 |
| 1063889756 | Victoria Tourloukis | Speech-Language Pathologist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2015-08-28 |
| 1205184678 | Suzanne Colandrea | Registered Nurse | 65 Parrott Rd, West Nyack, NY 10994 | 2012-08-16 |
| 1144592700 | Loretta Anne O'toole | Physical Therapist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2012-01-29 |
| 1336418912 | Francine Mindy Blumm | Social Worker | 65 Parrott Rd, Cbi Tech High School, West Nyack, NY 10994-1025 | 2011-12-28 |
| 1821367657 | Mary Sitgraves | Psychologist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2011-12-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1063948792 | Kristine Uzolina-shportko | Dentist | 3645 Palisades Center Drive, West Nyack, NY 10994 | 2017-05-01 |
| 1689016909 | Kathleen Ann Colaluca-borbon | Behavioral Analyst | 10 Brookhill Dr, West Nyack, NY 10994 | 2013-07-28 |
| 1528409380 | Donald Alvin Winikoff | Pediatrics | 12 Woodward Road, West Nyack, NY 10994 | 2013-07-09 |
| 1740557107 | Patricia Martone | Registered Nurse | 65 Parrott Rd., West Nyack, NY 10994 | 2011-11-29 |
| 1679855142 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road, Bldg.6, West Nyack, NY 10994 | 2011-09-12 |
| 1306128814 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road Building 6, West Nyack, NY 10994 | 2011-09-12 |
| 1851616940 | Susan Marie Toscano | Early Intervention Provider Agency | 7 Kenbar Rd, West Nyack, NY 10994 | 2010-03-31 |
| 1225282007 | Maria Rossetti | Speech-Language Pathologist | 65 Parrot Road, Rockland Boces, West Nyack, NY 10994 | 2008-11-06 |
| 1932377645 | All Care Family Nurse Practitioners LLC | Nurse Practitioner | 2244 Palisades Center Drive, West Nyack, NY 10994 | 2008-02-15 |
| Find all providers in zip 10994 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656399 | Susan Marie Seidman | Psychologist | 61 Parrott Rd- Rockland Boces, Building 6, West Nyack, NY 10994-1044 | 2011-01-25 |
| 1427112531 | Robert Farr | Psychologist | 34 Rockford Dr, West Nyack, NY 10994 | 2006-12-21 |
| 1467750455 | Elayne Helfgott | Psychologist | 65 Parrott Rd, West Nyack, NY 10994-1025 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
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| City | WEST NYACK |
| Zip Code | 10994 |
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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.