DR. BERTRAM OLIVER PLOOG (NPI# 1841426665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841426665 |
| Entity Type | Individual |
| Full Name | DR. BERTRAM OLIVER PLOOG |
| Credential | PH.D., BCBA-D |
| Practice Address |
56 Saint Marks Pl Staten Island NY 10301-1607 |
| Practice Telephone | 7189824083 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2015-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 021285 | NY | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 000065-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
56 SAINT MARKS PL |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| 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 |
|---|---|---|---|---|
| 1528484144 | Stephanie Alexander X | Psychologist | 18 Villanova St, Staten Island, NY 10314-6032 | 2014-03-06 |
| 1699017418 | Nitsana Moyal | Psychologist | 965 Willowbrook Rd, Staten Island, NY 10314-4271 | 2013-03-19 |
| 1790029148 | Marie Biancaniello | Psychologist | 24 Don Ct, Staten Island, NY 10312-1574 | 2012-11-23 |
| 1598039083 | Jeane Rajacic-poppe | Psychologist | 2286 Richmond Rd, Staten Island, NY 10306-2563 | 2012-02-29 |
| 1811274111 | Zenia Ruby | Psychologist | 3575 Richmond Rd, Staten Island, NY 10306-1429 | 2011-11-15 |
| 1710203393 | Charles Destefano | Psychologist | 77 Governor Rd, Staten Island, NY 10314-3021 | 2010-04-08 |
| 1558599639 | Vikki Palmer | Psychologist | 2702 Richmond Ter, Staten Island, NY 10303-2313 | 2009-06-26 |
| 1306046313 | Lauren Weissman | Psychologist | 25 President St, Staten Island, NY 10314-4119 | 2007-07-19 |
| 1023136967 | Noah Malowitzky | Psychologist | 483 Harold St, Staten Island, NY 10314 | 2007-03-27 |
| 1699805804 | Amy Miller | Psychologist | 777 Seaview Ave # 2, Staten Island, NY 10305-3409 | 2007-03-06 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.