DR. MICHELLE LORRANINE KORNBLEUTH (NPI# 1902963226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902963226 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LORRANINE KORNBLEUTH |
| Credential | PH.D. |
| Practice Address |
1430 2nd Ave Suite 103 New York NY 10021-3313 |
| Practice Telephone | 2124342534 |
| Practice Fax Number | 2127175691 |
| Mailing Telephone | 2124342534 |
| Mailing Fax Number | 2127175691 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
014055-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1430 2ND AVE SUITE 103 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598847 | Pedro Ramiro Segarra | Obstetrics & Gynecology | 1430 2nd Ave, Suite 101, New York, NY 10021-3313 | 2005-06-16 |
| 1760768022 | Anat Zelmanovich | Obstetrics & Gynecology | 1430 2nd Ave, Suite 101, New York, NY 10021-3313 | 2011-10-31 |
| 1043349251 | Pediatric Head and Neck Associates, PC | Specialist | 1430 2nd Ave, Ste 110, New York, NY 10021-3313 | 2007-03-05 |
| 1417095563 | Amanda Nelson Mandel | Psychologist | 1430 2nd Ave, Suite 103, New York, NY 10021-3313 | 2007-02-01 |
| 1093866766 | Sandra Odalia Samaniego | Psychologist | 1430 2nd Ave, Suite 103, New York, NY 10021-3313 | 2007-01-16 |
| 1194872168 | Michele Dee Shackelford | Clinical Neuropsychologist | 1430 2nd Ave, Suite 103, New York, NY 10021-3313 | 2007-01-04 |
| 1053477869 | Linda Weingarten Scheffler | Psychologist | 1430 2nd Ave, Ste 109, New York, NY 10021-3313 | 2006-12-28 |
| 1386755015 | Laura Anne Lewis Mantell | Anesthesiology | 1430 2nd Ave, Suite 102, New York, NY 10021-3313 | 2006-08-31 |
| 1598873952 | Melissa Susan Pashcow | Ophthalmology | 1430 2nd Ave, Suite 108, New York, NY 10021-3313 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
| Find all providers in NEW YORK | ||||
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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.