DR. JANE ELLEN HIGHAM (NPI# 1164796652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164796652 |
| Entity Type | Individual |
| Full Name | DR. JANE ELLEN HIGHAM |
| Credential | PH.D. |
| Practice Address |
620 Erie Blvd W Syracuse NY 13204-2445 |
| Practice Telephone | 3154254400 |
| Mailing Telephone | 3154254400 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 019483 | NY | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
620 ERIE BLVD W |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902920804 | Richard Alan Craybas | Dentist | 620 Erie Blvd W, #310, Syracuse, NY 13204-2445 | 2007-03-17 |
| 1841890084 | Katharine O'connell | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-10-27 |
| 1215569363 | Michelle Lynn Warner | Marriage & Family Therapist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-02-06 |
| 1306498480 | Joshua Paul Doyle | Counselor | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2019-07-10 |
| 1871071134 | Victoria Pauldine | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2018-07-30 |
| 1538656673 | Bethany Ann Pecora-sanefski | Psychologist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2018-04-14 |
| 1538697925 | Kelly Marie Coggen | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2017-05-30 |
| 1336696525 | Megan Furco | Counselor | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-09-06 |
| 1194271353 | Melissa Reilly | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-08-28 |
| 1346693215 | Laura Cathleen Hruska | Psychologist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
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| 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 |
|---|---|---|---|---|
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1720600554 | Jeanne Alyce Shapiro | Psychologist | 150 E Fayette St Apt 406, Syracuse, NY 13202-1649 | 2020-05-14 |
| 1306499728 | Eileen E Fitzpatrick | Psychologist | 4290 Fay Rd, Syracuse, NY 13219-3045 | 2019-07-24 |
| 1134608334 | Jill Erin Majeski | Psychologist | 1 Childrens Cir, Syracuse, NY 13210-1634 | 2018-08-08 |
| 1710369673 | Kristin O'kane | Psychologist | 100 Intrepid Ln Ste 2, Syracuse, NY 13205-2546 | 2015-06-26 |
| 1912327495 | Afton N. Kapuscinski | Psychologist | 804 University Ave Ste 201, Syracuse, NY 13244-2340 | 2014-04-23 |
| 1750666830 | Christine L Tyrrell-baker | Psychologist | 220 Herald Place, 4th Floor, Syracuse, NY 13202-5002 | 2011-10-20 |
| 1114186012 | Kelly Marleah Harrington | Psychologist | 300 Audubon Pkwy Apt 94, Syracuse, NY 13224-1245 | 2008-06-05 |
| 1720137169 | Alice S Honig | Psychologist | 317 Allen St, Syracuse, NY 13210-1344 | 2007-01-08 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
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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.