PAULINE STAHLBRODT (NPI# 1073824793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073824793 |
| Entity Type | Individual |
| Full Name | PAULINE STAHLBRODT |
| Credential | PHD |
| Practice Address |
81 Lake Ave Rochester NY 14608 |
| Mailing Address |
81 Lake Ave Rochester NY 14608-1410 |
| Practice Telephone | 5853686900 |
| Mailing Telephone | 5853686900 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 022235 | NY | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 000776 | NY | Behavioral Health & Social Service Providers |
| Street Address |
81 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595854 | Ram Wesley Rapoport | Psychiatry & Neurology | 81 Lake Ave, Rochester, NY 14608-1410 | 2006-08-16 |
| 1144841784 | Rebekah Balch | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-06 |
| 1104447796 | Anni Mcentire Gruttadaro | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-05 |
| 1912532136 | Maksim Tsaryk | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-09 |
| 1306471784 | Michelle Janine Squicciarini-beterbiyev | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1669007985 | Tryceena Marie Gordon | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1750911095 | Amanda Leigh Tuttle | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-24 |
| 1225678402 | Salvatore Mongiovi | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-15 |
| 1346880978 | Abigail L Wood | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-11 |
| 1346889763 | Emily Lehman | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| Find all providers in zip 14608 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1780230060 | Madeline August | Psychologist | 291 Plymouth Ave S Apt 6, Rochester, NY 14608-2238 | 2019-08-13 |
| 1568902682 | Katlyn D Rice | Psychologist | 200 E River Rd Fl 3, Rochester, NY 14623-1212 | 2017-03-08 |
| 1891231916 | Alisa K. Phelps, Ph.d., Psychologist, Pllc | Psychologist | 697 Highland Ave, Rochester, NY 14620-3119 | 2017-01-12 |
| 1578967956 | Mary Frances Maida | Psychologist | 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 | 2014-10-14 |
| 1689085037 | Carrie Gleason | Psychologist | 900 W University Dr Ste B-3, Rochester, MI 48307-1817 | 2014-05-19 |
| 1043561335 | Ken Wadum, Ed.d. Lp | Psychologist | 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 | 2012-09-26 |
| 1477839223 | Trica L. Peterson | Psychologist | 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 | 2011-10-25 |
| 1477866176 | Janette Lynn Funk | Psychologist | 1577 South Ave, Rochester, NY 14620-3914 | 2010-07-22 |
| 1174835714 | Barefootsouls-com Inc | Psychologist | 226 1st St, Rochester, MI 48307-2600 | 2010-07-12 |
| Find all providers in ROCHESTER | ||||
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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.