DR. EVAN R PODOLAK (NPI# 1831429240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831429240 |
Entity Type | Individual |
Full Name | DR. EVAN R PODOLAK |
Credential | PSY.D. |
Practice Address |
1600 Harrison Ave Suite 307b Mamaroneck NY 10543-3145 |
Mailing Address |
75 Fenimore Dr Harrison NY 10528-1413 |
Practice Telephone | 9148353910 |
Mailing Telephone | 9147143108 |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-05-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
018395-1 | NY | Behavioral Health & Social Service Providers |
Street Address |
1600 HARRISON AVE SUITE 307B |
City | MAMARONECK |
State | NY |
Zip Code | 10543-3145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245236207 | Kira Antonia Geraci-ciardullo | Allergy & Immunology | 1600 Harrison Ave, Ste 304, Mamaroneck, NY 10543-3151 | 2005-06-23 |
1508232745 | Devas Mental Health Counseling, Pllc | Counselor | 1600 Harrison Ave, Suite G105-6, Mamaroneck, NY 10543-3145 | 2015-08-11 |
1154722130 | Omrit Silberstein | Psychologist | 1600 Harrison Ave, Ste G105a-2, Mamaroneck, NY 10543-3145 | 2014-09-10 |
1447682406 | Hear Ny Audiology P.C. | Audiologist-Hearing Aid Fitter | 1600 Harrison Ave, Suite 101 A, Mamaroneck, NY 10543-3145 | 2013-08-01 |
1023457579 | Paul D Gittelman Md Pllc | Otolaryngology | 1600 Harrison Ave, Suite G104, Mamaroneck, NY 10543-3145 | 2013-06-18 |
1720320831 | Healthy Living. David Ben Meir Md. Mph. General Medicine Pllc | Internal Medicine | 1600 Harrison Ave, Suite 305, Mamaroneck, NY 10543-3145 | 2013-03-27 |
1730468547 | David Amos Ben-meir | Internal Medicine | 1600 Harrison Ave, Suite 305, Mamaroneck, NY 10543-3145 | 2011-08-10 |
1295045813 | Fatima Maria Ramos-marcuse | Nurse Practitioner | 1600 Harrison Ave, Suite 302, Mamaroneck, NY 10543-3145 | 2010-10-16 |
1922314020 | Kathleen M Casey-paulsen | Acupuncturist | 1600 Harrison Ave, Suite 203, Mamaroneck, NY 10543-3145 | 2010-08-26 |
1780839266 | Harrison Pediatrics LLP | Exclusive Provider Organization | 1600 Harrison Ave, Suite 205, Mamaroneck, NY 10543-3145 | 2008-11-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
1093324402 | Yaritza Ayala | Speech-Language Pathologist | 100 W Boston Post Rd, Student Support Office, Mamaroneck, NY 10543 | 2020-07-31 |
1659913705 | Dolores Ramos | Technician | 328 Richbell Rd, Mamaroneck, NY 10543 | 2019-10-10 |
1689230369 | Gina Antiaris | Internal Medicine | Miller Clark Animal Hospital, 1621 Harrison Ave, Mamaroneck, NY 10543 | 2019-05-17 |
1982111688 | Farrah Renate Hatem | Specialist | Mamaroneck Community Nursery School, 500 Tomkins Ave, Mamaroneck, NY 10543 | 2018-01-03 |
1518496132 | Danielle Marie Lombardozzi | Registered Nurse | 336 Florence Street, Mamaroneck, NY 10543 | 2017-06-07 |
1710430962 | Melanie Mccarthy | Occupational Therapist | 604 Tompkins Ave Apt E12, Mamaroneck, NY 10543 | 2016-07-24 |
1669838447 | New York Sports & Spine Chiropractic, LLC | Chiropractor | 875 Mamaroneck Avenue, Ste 102, Mamaroneck, NY 10543 | 2016-01-08 |
1568847655 | Lisa Wauchope-greenland | Registered Nurse | 275 Fifth Street, Mamaroneck, NY 10543 | 2015-07-30 |
1699013854 | Marshall Donald Coleman | Psychiatry & Neurology | 1030 Greacen Pt Rd, Mamaroneck, NY 10543 | 2013-01-23 |
Find all providers in zip 10543 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508018870 | Jill Karliner | Psychologist | 675 Baldwin Pl, Mamaroneck, NY 10543-2106 | 2008-10-18 |
1871516674 | Barry A Farber | Psychologist | 622 Seney Ave, Mamaroneck, NY 10543-4425 | 2006-07-25 |
1346290418 | Sandra Z Schoeneman | Psychologist | 206 West St, Mamaroneck, NY 10543-3138 | 2006-05-11 |
1629033311 | Amy P Aaronson | Psychologist | 933 Mamaroneck Ave., Suite 202, Mamaroneck, NY 10543 | 2006-04-18 |
1396309225 | Katharine Sawyer | Psychologist | 234 Stanley Ave, Mamaroneck, NY 10543-2530 | 2019-04-25 |
1952717829 | Janet Rivkin Zuckerman | Psychologist | 875 Mamaroneck Ave, Suite 202, Mamaroneck, NY 10543-1900 | 2014-07-10 |
1871915199 | Cmd Psychological Services Pllc | Psychologist | 125 Spencer Pl, Mamaroneck, NY 10543-5601 | 2014-01-07 |
1871938258 | Lisa Moses | Psychologist | 933 Mamaroneck Ave, Suite 202, Mamaroneck, NY 10543-1662 | 2013-04-30 |
1033482690 | Marni S Amsellem | Psychologist | 501 E Boston Post Rd, Mamaroneck, NY 10543-3757 | 2012-02-13 |
1801019724 | Nicholas Radcliffe | Psychologist | 585 N Barry Ave, Mamaroneck, NY 10543-1633 | 2007-04-10 |
Find all providers in MAMARONECK |
City | MAMARONECK |
Zip Code | 10543 |
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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.