BONNIE MCCLUSKEY (NPI# 1861410508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861410508 |
| Entity Type | Individual |
| Full Name | BONNIE MCCLUSKEY |
| Credential | PH.D |
| Practice Address |
14 Glover Dr Yaphank NY 11980-1204 |
| Mailing Address |
1 Old Country Rd Suite 271 Carle Place NY 11514-1801 |
| Practice Telephone | 6318524400 |
| Mailing Telephone | 8007256280 |
| Mailing Fax Number | 8007256380 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
012002-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01517688 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256920 | Bonnie J Mccluskey | Registered Nurse | 10 Tri Park Way, Appleton, WI 54914-1658 | 2005-06-21 |
| Street Address |
14 GLOVER DR |
| City | YAPHANK |
| State | NY |
| Zip Code | 11980-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104868702 | County of Suffolk | Skilled Nursing Facility | 14 Glover Dr, Yaphank, NY 11980-1204 | 2006-06-11 |
| 1982988671 | Gail Kellner | Nurse Practitioner | 14 Glover Dr, Yaphank, NY 11980-1204 | 2011-09-29 |
| 1518194042 | Suffolk County Health Department | Skilled Nursing Facility | 14 Glover Dr, Yaphank, NY 11980-1204 | 2009-06-11 |
| 1104044486 | Khin M Latt | Psychiatry & Neurology | 14 Glover Dr, Yaphank, NY 11980-1204 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821489113 | Maura Walters | Speech-Language Pathologist | 430 Sills Road, Yaphank, NY 11980 | 2015-02-09 |
| 1033353750 | Samantha Lyn Boutis | Psychologist | 430 Sills Rd, Yaphank, NY 11980 | 2009-04-24 |
| 1417149386 | Maryhaven Center of Hope Inc. | Clinic/Center | 445 County Road 101, Yaphank, NY 11980 | 2007-08-15 |
| 1326267295 | Wieslawa Zofia Stelzel | Nurse Practitioner | 14 Glover Drive, Jj Foley Snf Suffolk County Department of Health, Yaphank, NY 11980 | 2007-04-25 |
| 1851483879 | Susan Byrne | Social Worker | 1490 Wm Floyd Parkway, Shirley, NY 11980 | 2006-09-28 |
| 1316580111 | Kaylene-lynn Christina Graffitti | Social Worker | 430 Sills Road, Yaphank, NY 11980 | 2019-10-24 |
| 1316506769 | Emily Lynn Martino | Specialist | 430 Sills Rd, Yaphank, NY 11980 | 2019-06-10 |
| 1609433309 | Catherine Gerard | Specialist | 430 Sills Road, Yaphank, NY 11980 | 2019-05-29 |
| 1255801551 | Alexandra Louise Silfer | Physical Therapist | 430 Sills Road, Yaphank, NY 11980 | 2018-11-29 |
| 1487964128 | Florence S Barresi | Occupational Therapist | 430 Sills Rd, Yaphank, NY 11980 | 2010-10-15 |
| Find all providers in zip 11980 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BONNIE MCCLUSKEY.
| 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.