DR. MICHAEL J SMALL (NPI# 1992914360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992914360 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J SMALL |
| Credential | PH.D. |
| Practice Address |
49 Fawn Way Long Lake NY 12847-0130 |
| Mailing Address |
Po Box 130 Long Lake NY 12847-0130 |
| Practice Telephone | 5186243346 |
| Practice Fax Number | 5186245557 |
| Mailing Telephone | 5186243346 |
| Mailing Fax Number | 5186245557 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 013837 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770619868 | Michael Small | Urology | 1607 N Briarcliff Dr, Appleton, WI 54915-2838 | 2007-02-26 |
| 1043717754 | Michael Bradley Small | Student in an Organized Health Care Education/Training Program | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2018-04-09 |
| 1811182199 | Michael Bradley Small | Internal Medicine | 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005 | 2007-09-11 |
| 1992817696 | Michael L. Small | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 Webster St Ste 200, San Francisco, CA 94115-2375 | 2006-08-31 |
| Street Address |
49 FAWN WAY |
| City | LONG LAKE |
| State | NY |
| Zip Code | 12847-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336411420 | Vickie L Plumley | Speech-Language Pathologist | 31 Kickerville Lane, Long Lake, NY 12847 | 2012-02-03 |
| 1245244649 | Russell E Rider | Family Medicine | 8561 Newcomb Rd, Long Lake, NY 12847-0129 | 2006-07-28 |
| 1972660819 | Long Lake Central School | Local Education Agency (LEA) | 20 School Lane, Long Lake, NY 12847-0217 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417647 | Angela Jean Weber | Acupuncturist | 1611 W Wayzata Blvd, Long Lake, MN 55356-9300 | 2020-05-04 |
| 1154988350 | Tonka Life Center, Ltd | Psychologist | 1605 W Wayzata Blvd, Long Lake, MN 55356-9300 | 2019-05-22 |
| 1225536527 | Town of Long Lake | Ambulance | 3348 Wisconsin 139, Long Lake, WI 54542 | 2018-02-01 |
| 1902341589 | Michael Joseph Sherman | Massage Therapist | 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 | 2017-01-05 |
| 1255791745 | West Lake Counseling and Wellness, Inc | Social Worker | 1613 W Wayzata Blvd Ste B, Long Lake, MN 55356-4103 | 2016-02-26 |
| 1245690874 | Diane Pease | Massage Therapist | 2160 W Wayzata Blvd, Long Lake, MN 55356-1100 | 2016-02-24 |
| 1265788657 | Orono Public School District Isd 0278 | Local Education Agency (LEA) | 685 N Old Crystal Bay Rd, Long Lake, MN 55356-8315 | 2012-08-03 |
| 1578835310 | Lake Minnetonka Counseling | Clinic/Center | 432 Mill St, Suite 201, Long Lake, MN 55356-8304 | 2012-02-08 |
| 1336411420 | Vickie L Plumley | Speech-Language Pathologist | 31 Kickerville Lane, Long Lake, NY 12847 | 2012-02-03 |
| 1750673117 | Chirocenter Mn, Inc. | Chiropractor | 2073 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4520 | 2011-05-04 |
| Find all providers in LONG LAKE | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
| 1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL J SMALL.
| 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.