DR. ALEXANDRA DE WAAL (NPI# 1881256139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881256139 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA DE WAAL |
| Credential | PSYD |
| Practice Address |
80 Maiden Ln New York NY 10038-4811 |
| Mailing Address |
298 Greene Ave Apt 3 Brooklyn NY 11238-1410 |
| Practice Telephone | 2125092411 |
| Mailing Telephone | 6462833561 |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 023123 | NY | Behavioral Health & Social Service Providers |
| Street Address |
80 MAIDEN LN |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276445 | Glen Brooks | Anesthesiology | 80 Maiden Ln, Suite 703, New York, NY 10038-4811 | 2005-06-27 |
| 1023642832 | Parker Patricia Parker | Registered Nurse | 80 Maiden Ln, New York, NY 10038-4811 | 2020-03-02 |
| 1568939445 | Genevieve Asare | Licensed Practical Nurse | 80 Maiden Ln, New York, NY 10038-4811 | 2018-10-29 |
| 1205303542 | Anja Murphy | Registered Nurse | 80 Maiden Ln, New York, NY 10038-4811 | 2018-10-24 |
| 1114419157 | Veronika Golova | Registered Nurse | 80 Maiden Ln, New York, NY 10038-4811 | 2018-06-05 |
| 1316453780 | Andira Gordon-williams | Registered Nurse | 80 Maiden Ln, New York, NY 10038-4811 | 2017-12-21 |
| 1407382641 | Yen Hua Liu | Physical Therapist | 80 Maiden Ln, Suite 1007, New York, NY 10038-4811 | 2017-05-09 |
| 1477084457 | Yu-chuan Chang | Physical Therapist | 80 Maiden Ln, Suite 1007, New York, NY 10038-4811 | 2017-03-22 |
| 1881092393 | Jacqueline Salerno | Behavioral Analyst | 80 Maiden Ln, 8th Floor, New York, NY 10038-4811 | 2014-12-15 |
| 1669870788 | Marsha Drummond | Behavioral Analyst | 80 Maiden Ln, New York, NY 10038-4811 | 2014-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
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| 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] |
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|---|---|---|---|---|
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1346852514 | Alicia Eminia Ramirez | Psychologist | 319 E 14th St Apt 1b, New York, NY 10003-4227 | 2020-08-19 |
| 1386253144 | Rachel L Adams | Psychologist | 270 Fort Washington Ave Apt 42, New York, NY 10032-1310 | 2020-07-28 |
| 1588281851 | Rachel Lynn Goldman | Psychologist | 315 E 62nd St Rm 5, New York, NY 10065-7767 | 2020-07-02 |
| 1558987941 | Kevin Rustam | Psychologist | 100 W 18th St Apt 5f, New York, NY 10011-5475 | 2020-06-22 |
| 1285250035 | Yaakov Weiner | Psychologist | 215 W 108th St Apt B2, New York, NY 10025-2982 | 2020-06-17 |
| 1790308864 | Ayelet Boussi | Psychologist | 270 Lafayette St Ste 702, New York, NY 10012-3384 | 2020-05-24 |
| 1740803089 | Ronald Joseph Saleh | Psychologist | 203 W 107th St Apt 9b, New York, NY 10025-3026 | 2020-05-21 |
| 1366062440 | Emily Bridget-polidore Reese | Psychologist | 11 Jay St Apt 3, New York, NY 10013-2847 | 2020-04-20 |
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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.