DR. EVAN R PODOLAK


Address: 1600 Harrison Ave, Suite 307b, Mamaroneck, NY 10543-3145
Phone: 9148353910

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
018395-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 1600 HARRISON AVE
SUITE 307B
City MAMARONECK
State NY
Zip Code 10543-3145

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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
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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
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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MAMARONECK
Zip Code 10543

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Dataset Information

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.

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