DR. GWINNE WYATT PORTER


Address: 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454
Phone: 9177474218

DR. GWINNE WYATT PORTER (NPI# 1124199815) 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) 1124199815
Entity Type Individual
Full Name DR. GWINNE WYATT PORTER
Credential PH.D.
Practice Address 667 Stoneleigh Ave
Suite 202
Carmel
NY 10512-2454
Practice Telephone 9177474218
Mailing Telephone 9177474218
Enumeration Date 2006-11-13
Last Update Date 2014-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 016716 NY Behavioral Health & Social Service Providers

Office Location

Street Address 667 STONELEIGH AVE
SUITE 202
City CARMEL
State NY
Zip Code 10512-2454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023011368 Jeffrey M Passick Specialist 667 Stoneleigh Ave, Ste 302, Carmel, NY 10512-2454 2005-05-31
1538678487 Jessica Chantel Olivo Registered Nurse 667 Stoneleigh Ave, Carmel, NY 10512-2454 2017-09-22
1609306216 Sarah Yanosy Social Worker 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 2017-06-15
1093244410 Kenneth M. Wilson Counselor 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 2017-06-08
1134669724 Sabrina Kucherov Nurse Practitioner 667 Stoneleigh Ave, Suite 111, Carmel, NY 10512-2454 2017-03-01
1285185603 Lauren Baird Fiedler Clinical Neuropsychologist 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 2016-10-20
1710330303 Jenny Carmona-padilla Social Worker 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 2016-07-19
1043609662 Andrew Metz Social Worker 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 2015-01-20
1205224367 Cecilia Rembert Psychologist 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 2014-12-24
1669873709 Michael Dimeo Physical Therapist 667 Stoneleigh Ave, Suite 116, Carmel, NY 10512-2454 2014-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932706272 Health Quest Medical Practice, PC Family Medicine 150 Route 52-metabolic Program, Carmel, NY 10512 2020-10-08
1487282950 Daniel Bryan Rush Student in an Organized Health Care Education/Training Program Putnam Hospital Center, 660 Stonrlrigh Avenue, Carmel Hamlet, NY 10512 2020-03-31
1083139521 Colette Mignogna Physical Therapist 902 Vista On The Lake, Carmel, NY 10512 2017-08-06
1366965543 Amanda Marie Santangelo Speech-Language Pathologist 281 Daisy Lane, Carmel, NY 10512 2017-07-19
1184146557 James William Johnson Licensed Practical Nurse 25 Beekman Dr, Carmel, NY 10512 2017-07-07
1356702369 Terry-ann Mclennon Social Worker 494 Nimham Rd, Kent Lakes, NY 10512 2016-03-18
1033529698 Daisy Lee Dentist 667 Stoneleigh Ave Ste 301, Carmel, NY 10512 2014-05-05
1548683022 Metropolitan Radiation Oncology Consulting PC Radiology 686 Stoneleigh Ave., Carmel, NY 10512 2014-02-04
1588901185 Robyn Weindel Speech-Language Pathologist 2506 Kings Way, Carmel, NY 10512 2013-01-16
1447509641 Rachael Palmer Jones Registered Nurse 670 Stoneleigh Ave Ste C-122, Carmel, NY 10512 2012-09-04
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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
1457538977 Javan Lee Horwitz Clinical Neuropsychologist 755 W Carmel Dr Ste 205, Carmel, IN 46032-5878 2008-01-28
1902912553 Barbara Orlowski Clinical Neuropsychologist 40 Lacrosse Rd, Carmel, NY 10512-3631 2006-08-23
1487646121 Daniel J Venezia Jr. Clinical Neuropsychologist 5727 Opus Dr, Carmel, IN 46033-8523 2005-08-18
1720602519 Lisa Doreen Glukhovsky Clinical Neuropsychologist 667 Stoneleigh Ave Ste 202, Carmel, NY 10512-2455 2020-06-08
1285185603 Lauren Baird Fiedler Clinical Neuropsychologist 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 2016-10-20
1578835013 Carmel Neuropsychology Services, P.C. Clinical Neuropsychologist 755 W Carmel Dr, Suite 205, Carmel, IN 46032-5877 2012-01-30
1801860903 Nirav Oza Bigelow Clinical Neuropsychologist 703 Pro-med Ln, Carmel, IN 46032-5317 2006-02-15

Providers in the same taxonomy and state

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
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Competitor

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City CARMEL
Zip Code 10512

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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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