DR. THEODORA KANELLOPOULOS (NPI# 1083091870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083091870 |
| Entity Type | Individual |
| Full Name | DR. THEODORA KANELLOPOULOS |
| Credential | PH.D. |
| Practice Address |
21 Bloomingdale Rd 7 South White Plains NY 10605-1504 |
| Practice Telephone | 9178864779 |
| Mailing Telephone | 9178864779 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 021101 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
021101 | NY | Behavioral Health & Social Service Providers |
| Street Address |
21 BLOOMINGDALE RD 7 SOUTH |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10605-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578785 | Steven David Roth | Psychiatry & Neurology | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2005-06-15 |
| 1396350815 | Michelle Moriarty | Dietitian, Registered | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-09-11 |
| 1841805330 | Laura Cordella | Dietitian, Registered | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-09-10 |
| 1639782402 | Deanna Mina Louise Swain | Psychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-08-31 |
| 1184241093 | Halle Thurnauer | Student in an Organized Health Care Education/Training Program | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-06-26 |
| 1538784434 | Brittany Tusa-barnett | Student in an Organized Health Care Education/Training Program | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-06-16 |
| 1366065773 | Lauren Elizabeth Oberlin | Clinical Neuropsychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-05-20 |
| 1013553452 | Jeneba Maibata | Registered Nurse | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2019-11-20 |
| 1629627633 | Sarah Coren | Psychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2019-09-11 |
| 1780233965 | Kristin Toffey | Psychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826443 | Sarah Parad Rowen Lcsw Pllc | Social Worker | 200 Bloomingdale Road, White Plains, NY 10605 | 2020-03-16 |
| 1316455454 | Jeffrey Barrett | General Practice | 23 Old Mamaroneck Rd # Studio1, White Plains, NY 10605 | 2018-01-10 |
| 1487109245 | Francesca Annunziata | Speech-Language Pathologist | 470 Mamaroneck Avenue, Suite 204, White Plains, NY 10605 | 2016-08-23 |
| 1366862153 | Nicholas Joseph Genova | Psychiatry & Neurology | Newyork-presbyterian Westchester Division, 21 Bloomingdale Rd, White Plans, NY 10605 | 2014-04-21 |
| 1811328719 | Jamie Winter | Psychologist | 21 Bloomingdale Road, Rogers Building, Newyork-presbyterian Hospital, White Plains, NY 10605 | 2013-12-03 |
| 1073946075 | Joanne Amy Yewdell | Occupational Therapist | 26 Maplemoor Lane, White Plains, NY 10605 | 2013-08-13 |
| 1295095222 | Benjamin Carl Rudow | Dentist | 280 Mamaroneck Ave Ste 307, White Plains, NY 10605 | 2012-05-24 |
| 1639483811 | Joel M Rodriguez | Occupational Therapy Assistant | 456 North Street, White Plains, NY 10605 | 2010-07-30 |
| 1609189752 | Joanne Ruth Pelletier | Psychologist | 19 Greenridge Avenue, Andrus Children's Center Mental Health Division, White Plains, NY 10605 | 2010-07-19 |
| 1639498736 | George Javor | Internal Medicine | 1 Brentwood Avenue, White Plains, NY 10605 | 2010-05-28 |
| Find all providers in zip 10605 | ||||
| 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 |
|---|---|---|---|---|
| 1568980092 | Monique Ashley Pimontel | Clinical Neuropsychologist | 21 Bloomingdale Rd Dept Room203b, White Plains, NY 10605-1504 | 2017-09-05 |
| 1376746727 | Tara Rebecca Tamny-young | Clinical Neuropsychologist | 10 N Broadway, Suite 1d, White Plains, NY 10601-2219 | 2007-06-05 |
| 1316096761 | Charlotte A Tomaino | Clinical Neuropsychologist | 34 South Broadway Suite 500, White Plains, NY 10601-4400 | 2007-01-08 |
| 1902419591 | Brittney Marie Fallucca | Clinical Neuropsychologist | 1 N Broadway Ste 704, White Plains, NY 10601-2320 | 2020-08-25 |
| 1366065773 | Lauren Elizabeth Oberlin | Clinical Neuropsychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2020-05-20 |
| 1023402799 | White Plains Psychology, Pllc | Clinical Neuropsychologist | 56 Doyer Ave Ste 1c, White Plains, NY 10605-1643 | 2015-03-20 |
| 1629480124 | Beth B Rabinovitz | Clinical Neuropsychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2014-06-02 |
| 1689091290 | Jedidiah Gunter | Clinical Neuropsychologist | 34 S Broadway, Suite 500, White Plains, NY 10601-4400 | 2014-03-20 |
| 1770919771 | Sarah Shizuko Morimoto | Clinical Neuropsychologist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2013-09-23 |
| 1235459868 | Ingi A Soliman | Clinical Neuropsychologist | 34 S Broadway, Suite 506, White Plains, NY 10601-4400 | 2010-06-05 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10605 |
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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.