JENNIFER ANNE FLEEMAN (NPI# 1790748416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790748416 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE FLEEMAN |
| Other Name | MISS JENNIFER ANNE BADGLEY |
| Credential | PSYD |
| Practice Address |
601 Elmwood Ave Rochester NY 14642-0001 |
| Mailing Address |
601 Elmwood Ave Box 664 Rochester NY 14642-0001 |
| Practice Telephone | 5852753271 |
| Practice Fax Number | 5854422949 |
| Mailing Telephone | 5852753271 |
| Mailing Fax Number | 5854422949 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 015572 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 015572 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
015572 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE NEUROPSYCH | 121968FD | 01 |
| NY | PREFERRED CARE PSYCH | 121968FC | 01 |
| NY | BLUECROSSBLUESHIELD INDIV | P010015572 | 01 |
| NY | 02426277 | 05 | |
| NY | BLUECROSSBLUESHIELD GROUP | G0184796190 | 01 |
| Street Address |
601 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324317 | Marc Norman Berliant | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2005-05-23 |
| 1386245165 | Stephanie Pilat | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-06 |
| 1396346276 | Noah Ritzel | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1811598790 | Natalie Tanke | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1891394490 | Muhamed Ahmic | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-23 |
| 1619576543 | Patricia Marie Reiber | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-21 |
| 1528667557 | Alexandra Jessie Strutt | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-21 |
| 1750989323 | Sarah Jones | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| 1679171334 | Audrey Linn Schroeder | Genetic Counselor, MS | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-15 |
| 1013515568 | Carla Katherine Muranyi | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821220021 | Dalin Thomas Pulsipher | Clinical Neuropsychologist | 919 Westfall Rd Suite 220, Bldg C, Rochester, NY 14642-2058 | 2009-08-20 |
| 1639595879 | Renee Madathil | Clinical Neuropsychologist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2014-03-12 |
| 1972931772 | Tanya R Grace | Clinical Neuropsychologist | 2655 Ridgeway Ave, Suite 420, Rochester, NY 14626-4296 | 2013-10-15 |
| 1720239916 | Nikki Horne Stricker | Clinical Neuropsychologist | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-10-06 |
| 1750538120 | Amy Pacos Martinez | Clinical Neuropsychologist | 601 Elmwood Ave, Rochester, NY 14642-2755 | 2008-08-27 |
| 1144490681 | Krista Marguerite Damann | Clinical Neuropsychologist | 2655 Ridgeway Ave, Suite 420, Rochester, NY 14626-4296 | 2008-03-11 |
| 1609956002 | Denise Llyn Henderson | Clinical Neuropsychologist | 277 Alexander St, Suite305, Rochester, NY 14607-1920 | 2006-10-17 |
| 1588757975 | Miriam T Weber | Clinical Neuropsychologist | 601 Elmwood Ave, Box 278984, Rochester, NY 14642-0001 | 2006-09-30 |
| 1760597223 | Mark Mapstone | Clinical Neuropsychologist | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2006-08-21 |
| 1336254978 | John T Langfitt | Clinical Neuropsychologist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-08-21 |
| Find all providers in ROCHESTER | ||||
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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.