DR. ANN MARIE JOAN KAVANAGH (NPI# 1851881700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851881700 |
| Entity Type | Individual |
| Full Name | DR. ANN MARIE JOAN KAVANAGH |
| Credential | PHD |
| Practice Address |
998 Crooked Hill Rd Brentwood NY 11717-1019 |
| Mailing Address |
6803 Garfield Ave Woodside NY 11377-7521 |
| Practice Telephone | 6317613728 |
| Mailing Telephone | 7183085029 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
022588 | NY | Behavioral Health & Social Service Providers |
| Street Address |
998 CROOKED HILL RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153603 | Guerline Markowitz | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-27 |
| 1528688074 | Daniel Brian Bell | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-24 |
| 1083248280 | Schneidine Rely-supreme | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-02-26 |
| 1285264762 | Barbara M Bazemore | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-01-23 |
| 1730727165 | Gerard Fitzgerald Grant | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-12-17 |
| 1982240768 | Monica J Cuya | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1942846746 | Alyssa Hope Smith | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1720624505 | Lancia Dezalon | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1164068946 | Kevin Fischer | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1538700778 | Michael Vincent Massina | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982101457 | Cynthia Louise Grace | Psychologist | 2079 Henry Hart Dr, Brentwood, CA 94513-5267 | 2018-04-10 |
| 1790106193 | Michelle Katz Jesop | Psychologist | 9005 Overlook Blvd Ste 117, Brentwood, TN 37027-5269 | 2014-01-02 |
| 1407109184 | J B Behavioral Health and Consultation Services Pllc | Psychologist | 6688 Nolensville Rd Ste 111-131, Brentwood, TN 37027-8833 | 2012-10-18 |
| 1316189996 | Cameron L Gordon | Psychologist | 5409 Maryland Way Ste 202, Brentwood, TN 37027 | 2009-03-30 |
| 1619158920 | Mary Beth Covert | Psychologist | 104 Eastpark Dr Ste 300, Brentwood, TN 37027-7535 | 2007-11-15 |
| 1982825899 | Aviva Ann Wasserman | Psychologist | 6544 Murray Lane, The Diagnostic Center At Currey Ingram Academy, Brentwood, TN 37027 | 2007-05-01 |
| 1649399478 | Susan Lewis | Psychologist | 215 Centerview Drive, Brentwood, TN 37027-5259 | 2007-03-29 |
| 1194875104 | Maria Abercrombie | Psychologist | 7003 Chadwick Drive, Suite 152, Brentwood, TN 37027-5288 | 2007-01-11 |
| 1255357984 | John William Fite | Psychologist | 311 Franklin Rd, Brentwood, TN 37027-5213 | 2006-07-14 |
| 1386670560 | Margaret Kohler | Psychologist | 1757 Brentwood Rd, Brentwood, NY 11717-5511 | 2006-06-23 |
| Find all providers in BRENTWOOD | ||||
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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.