MS. AMELIE SOUTHWOOD (NPI# 1932642014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932642014 |
| Entity Type | Individual |
| Full Name | MS. AMELIE SOUTHWOOD |
| Credential | LMHC |
| Practice Address |
16 Haven Ct Nyack NY 10960-1933 |
| Practice Telephone | 6462671346 |
| Mailing Telephone | 6462671346 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007529 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13915405 | 01 |
| Street Address |
16 HAVEN CT |
| City | NYACK |
| State | NY |
| Zip Code | 10960-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164963443 | Urmi Vaghela | Behavioral Analyst | 99 Main St Suite 208, Vital Behavior Services, Inc., Nyack, NY 10960 | 2017-03-20 |
| 1063968873 | Ebony S. Owens | Behavioral Analyst | 204 Nyack Plaza, Nyack, NY 10960 | 2016-08-31 |
| 1306299979 | Timothy O'shea Jr. | Registered Nurse | 28 Central Ave North, Nyack, NY 10960 | 2016-07-19 |
| 1114378460 | Abilene Murassaint | Licensed Practical Nurse | 65 Waldron Ave, Nyack, NY 10960 | 2016-06-28 |
| 1114388261 | United States Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 286 S. Boulevard, Nyack, NY 10960 | 2016-03-17 |
| 1316329477 | Susanna Miran Park | Acupuncturist | 85 South Broadway, Nyack, NY 10960 | 2015-06-25 |
| 1851724769 | Molly Hahn | Social Worker | 292 Main St Ste 4, Nyack, NY 10960 | 2013-08-14 |
| 1952648511 | Courtney Lia Sturm | Speech-Language Pathologist | 21 Burd Street, Nyack, NY 10960 | 2013-01-15 |
| 1942545389 | Manni Chahal | Registered Nurse | 3 Waldron Ave, Nyack, NY 10960 | 2012-12-11 |
| 1376894394 | Barbara Lewis Baker | Social Worker | 339 North Broadway, The Summit School and Children's Residence Center, Upper Nyack, NY 10960 | 2012-10-01 |
| Find all providers in zip 10960 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738949 | Rebecca Marie Silber | Counselor | 76 Burd St, Nyack, NY 10960-3102 | 2020-10-22 |
| 1801401526 | Elizabeth Bracken | Counselor | 31 Tweed Blvd, Nyack, NY 10960-4909 | 2020-09-10 |
| 1861027435 | Aguirre Psychotherapy Pllc | Counselor | 48 Burd St Ste 208&305, Nyack, NY 10960-3226 | 2020-03-04 |
| 1497303739 | Brianna Burrow | Counselor | 131 N Midland Ave Ste 3, Nyack, NY 10960-1911 | 2019-08-29 |
| 1821655077 | Tonya Swartzendruber | Counselor | 48 Burd St Ste 305, Nyack, NY 10960-3259 | 2019-05-23 |
| 1407236854 | Kristen A Stewart | Counselor | 99 Main St Ste 308, Nyack, NY 10960-3109 | 2015-06-01 |
| 1174940613 | Jane Thompson Willgren | Counselor | 42 Main St Ste 205, Nyack, NY 10960-3204 | 2014-03-22 |
| 1528317104 | Jason Manizza | Counselor | 10 Gail Drive, Suite C, Nyack, NY 10960-1731 | 2012-08-29 |
| 1295008043 | Soledad Soriano-kaplan | Counselor | 48 Burd St Ste 302, Nyack, NY 10960 | 2012-02-09 |
| 1730412982 | Cindy L Peterson-dana | Counselor | 99 Main St Ste 205, Nyack, NY 10960-3109 | 2009-09-04 |
| Find all providers in NYACK | ||||
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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.