DR. JESSICA RENEE ACKLEY (NPI# 1861833246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861833246 |
Entity Type | Individual |
Full Name | DR. JESSICA RENEE ACKLEY |
Other Name | DR. JESSICA RENEE ROUNSEVILLE |
Credential | PHARMD |
Practice Address |
249 Glenwood Rd Binghamton NY 13905-1603 |
Practice Telephone | 6072404745 |
Enumeration Date | 2013-07-12 |
Last Update Date | 2020-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 058050 | NY | Pharmacy Service Providers |
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
058050-I | NY | Pharmacy Service Providers |
Street Address |
249 GLENWOOD RD |
City | BINGHAMTON |
State | NY |
Zip Code | 13905-1603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770547051 | Kevin Hawley | Physical Therapist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2006-04-14 |
1235748260 | Cassaundra Murray | Psychologist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2020-07-27 |
1215587407 | Kristen Renee Fallon | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2019-09-19 |
1053895656 | Angela Marie Ray | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2018-09-19 |
1538676226 | Joseph Sullivan Edward Sullivan | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2018-01-04 |
1750837340 | Valerie Perkoski | Dietitian, Registered | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-09-01 |
1497114227 | Paula Millard | Occupational Therapist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-22 |
1831558691 | Darlene Childress | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-22 |
1952760761 | Valentina Poroutchnik | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-22 |
1770942666 | Karen Mckissick | Speech-Language Pathologist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
Find all providers in zip 13905 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982030417 | Lisa Stetson | Pharmacist | 777 Seaview Avenue South Beach Psychiatric Center, Staten Island, NY 10305-3409 | 2013-09-16 |
1366680936 | Wing Dave Fai Mui | Pharmacist | 2596 E 26th St, Brooklyn, NY 11235-2418 | 2009-02-04 |
1215172556 | Nisha Franklin Thomas | Pharmacist | 79 Phillips Hill Rd, New City, NY 10956-4113 | 2008-12-15 |
1457502601 | Ronald Andre Lombino | Pharmacist | 79-25 Winchester Blvd, Queens Village, NY 11427-2147 | 2008-10-07 |
1619182847 | Jane Sundberg | Pharmacist | 601 Elmwood Box 638, Rochester, NY 14642-1228 | 2007-05-11 |
1659592210 | Tammie Lee M Demler | Pharmacist | 400 Forest Avenue, Buffalo, NY 14213 | 2007-05-01 |
1174655518 | Foster D Myers IIi | Pharmacist | 625 Madison St, Syracuse, NY 13210 | 2007-03-12 |
1134126311 | Sudha Narayanaswamy | Pharmacist | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2005-07-05 |
1457826653 | Gerard Patrick Quinn | Pharmacist | 462 1st Ave, New York, NY 10016-9196 | 2018-10-04 |
1396197992 | Gary Sweet | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2016-07-07 |
Find all providers with the same taxonomy |
City | BINGHAMTON |
Zip Code | 13905 |
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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.