CHRISTINA NICOLAIS (NPI# 1164905295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164905295 |
| Entity Type | Individual |
| Full Name | CHRISTINA NICOLAIS |
| Credential | PHD |
| Practice Address |
750 East Adams St Syracuse NY 13210 |
| Mailing Address |
251 Salina Meadows Pkwy Ste 100 Syracuse NY 13212-4516 |
| Practice Telephone | 3154645450 |
| Practice Fax Number | 3154546322 |
| Mailing Telephone | 3154642000 |
| Mailing Fax Number | 3154642010 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 023967 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1473276 | 05 |
| Street Address |
750 EAST ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682336 | Gary Randall Green | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2005-07-08 |
| 1790326262 | Hannah Christine Schaly | Physician Assistant | 750 East Adams St, Er Dept., Syracuse, NY 13210-2306 | 2019-10-04 |
| 1518427822 | Eamonn John Murphy | Pharmacist | 750 East Adams St, Pharmacy, Syracuse, NY 13210 | 2019-03-22 |
| 1861984239 | Zachary Aaron Miller | Physician Assistant | 750 East Adams St, Syracuse, NY 13210-2306 | 2018-06-01 |
| 1134620354 | Lisa M Fiorini | Nurse Practitioner | 750 East Adams St, Syracuse, NY 13210-2306 | 2018-02-22 |
| 1821529751 | Gregory K Sun | Emergency Medicine | 750 East Adams St, Syracuse, NY 13210 | 2017-03-22 |
| 1356705537 | Jennalee Cizenski | Emergency Medicine | 750 East Adams St, Syracuse, NY 13210 | 2016-04-13 |
| 1730569633 | Rauf Shahbazov | Transplant Surgery | 750 East Adams St, Suite 2w, Syracuse, NY 13210 | 2015-06-05 |
| 1801281688 | Ian Felipe Gallegos Dargon | Internal Medicine | 750 East Adams St, Syracuse, NY 13210 | 2015-03-30 |
| 1477971497 | Kimberly Rush | Pediatrics | 750 East Adams St, Syracuse, NY 13210 | 2014-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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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.