DR. THEODORA KANELLOPOULOS


Address: 21 Bloomingdale Rd, 7 South, White Plains, NY 10605-1504
Phone: 9178864779

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 21 BLOOMINGDALE RD
7 SOUTH
City WHITE PLAINS
State NY
Zip Code 10605-1504

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City WHITE PLAINS
Zip Code 10605

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Dataset Information

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.

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