DR. JACLYN SPIEGEL (NPI# 1154618635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154618635 |
| Entity Type | Individual |
| Full Name | DR. JACLYN SPIEGEL |
| Credential | PSY.D. |
| Practice Address |
1428 5th Ave Bay Shore NY 11706-4147 |
| Mailing Address |
1912 Tanwood Ct North Bellmore NY 11710-3154 |
| Practice Telephone | 6316651900 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
019721 | NY | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
1875262 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03926969 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427323591 | Jaclyn Spiegel | Internal Medicine | 1000 W Carson St, Torrance, CA 90502-2004 | 2012-03-21 |
| Street Address |
1428 5TH AVE |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174743587 | Magda C Carranza | Speech-Language Pathologist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2007-04-26 |
| 1013402171 | Nicole Ryan Gallagher | Speech-Language Pathologist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2018-06-29 |
| 1861981607 | Michelle Lynne Lepore | Occupational Therapist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2018-05-08 |
| 1003337510 | Wendi Lisa Goldstein | Psychologist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2017-07-06 |
| 1700240942 | Melissa Bonventre | Social Worker | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2016-04-13 |
| 1124492194 | Sylvia Pei-i Huang | Occupational Therapist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2015-11-13 |
| 1083083273 | Melissa Gonzalez | Social Worker | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2015-09-18 |
| 1942565015 | Acld Kramer Learning Center | Clinic/Center | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2012-07-05 |
| 1295007177 | Janine M Peluso | Speech-Language Pathologist | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2012-02-07 |
| 1891090940 | Joanne Kanaley | Occupational Therapy Assistant | 1428 5th Ave, Bay Shore, NY 11706-4147 | 2011-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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|---|---|---|---|---|
| 1659996718 | Marlee Schwartz | Psychologist | 351 Manville Rd Ste 104&109, Pleasantville, NY 10570-2152 | 2020-06-14 |
| 1063031946 | Gwen Rachel Gordon Rothschild | Psychologist | 250 E Hartsdale Ave Ste 23, Hartsdale, NY 10530-3574 | 2020-04-10 |
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1578102513 | Anne Austin Weissenberger | Psychologist | 144 King St, Chappaqua, NY 10514-3499 | 2019-12-21 |
| 1114560398 | Alison Melville Locker | Psychologist | 375 Greenwich St Ste 812, New York, NY 10013-2376 | 2019-10-21 |
| 1417502543 | Norma Linda Doft | Psychologist | 295 Central Park W Ofc 4a, New York, NY 10024-3021 | 2019-08-06 |
| 1194387456 | Allison Canfield | Psychologist | Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-07-07 |
| 1043870728 | Sarah Donovan | Psychologist | 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 | 2019-06-16 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1063983757 | Miriam Shields | Psychologist | 13681 71st Rd, Flushing, NY 11367-1942 | 2018-12-06 |
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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.