DR. GREGORY VIKINGSTAD (NPI# 1831566405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831566405 |
| Entity Type | Individual |
| Full Name | DR. GREGORY VIKINGSTAD |
| Credential | PHD |
| Practice Address |
7529 263rd St Glen Oaks NY 11004-1150 |
| Practice Telephone | 7184703142 |
| Mailing Telephone | 7184703142 |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2020-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
68021286 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
68021286 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165620100 |
| Street Address |
7529 263RD ST |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578814471 | Madeline Mcgee | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2012-10-02 |
| 1801188156 | Jessy Warner-cohen | Psychologist | 75-59 263rd Street, Glen Oaks, NY 11004 | 2011-05-04 |
| 1124152491 | Emily Klass | Psychologist | 75-59 263rd Street, The Zucker Hillside Hospital, Glen Oaks, NY 11004 | 2007-03-16 |
| 1366534174 | Heather Lee Smith | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996718 | Marlee Schwartz | Psychologist | 351 Manville Rd Ste 104&109, Pleasantville, NY 10570-2152 | 2020-06-14 |
| 1063031946 | Gwen Rachel Gordon Rothschild | Psychologist | 250 E Hartsdale Ave Ste 23, Hartsdale, NY 10530-3574 | 2020-04-10 |
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1578102513 | Anne Austin Weissenberger | Psychologist | 144 King St, Chappaqua, NY 10514-3499 | 2019-12-21 |
| 1114560398 | Alison Melville Locker | Psychologist | 375 Greenwich St Ste 812, New York, NY 10013-2376 | 2019-10-21 |
| 1417502543 | Norma Linda Doft | Psychologist | 295 Central Park W Ofc 4a, New York, NY 10024-3021 | 2019-08-06 |
| 1194387456 | Allison Canfield | Psychologist | Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-07-07 |
| 1043870728 | Sarah Donovan | Psychologist | 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 | 2019-06-16 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1063983757 | Miriam Shields | Psychologist | 13681 71st Rd, Flushing, NY 11367-1942 | 2018-12-06 |
| Find all providers with the same taxonomy | ||||
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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.