JANNINE M PERGOLA (NPI# 1174632871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174632871 |
Entity Type | Individual |
Full Name | JANNINE M PERGOLA |
Credential | M.S, LMHC |
Practice Address |
11 Sammis St Saint James NY 11780-1628 |
Practice Telephone | 6318628164 |
Mailing Telephone | 6318628164 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
000123-1 | NY | Behavioral Health & Social Service Providers |
Street Address |
11 SAMMIS ST |
City | SAINT JAMES |
State | NY |
Zip Code | 11780-1628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528623956 | Mercy Cryz Kenny | Technician | 12 Three Sisters Rd, St James, NY 11780 | 2019-05-01 |
1720503089 | Lindsay Anne Struss | Specialist | 5 Storybook Lane, Saint James, NY 11780 | 2017-08-08 |
1194250027 | Dr. Suzanne Greenberg | Chiropractor | 2 Grill Drive, Saint James, NY 11780 | 2017-04-28 |
1811363484 | Rely Rx Inc | Durable Medical Equipment & Medical Supplies | 731 B Middle Country Rd, Saint James, NY 11780 | 2015-08-18 |
1639563018 | Victoria Grande | Counselor | 348 Lake Ave, Saint James, NY 11780 | 2015-03-24 |
1962822502 | Eugene S. Rosati, Md | Internal Medicine | 230 Lincoln Ave, St James, NY 11780 | 2014-04-22 |
1346664323 | Judith Ann Pedley | Occupational Therapist | 10 Lancelot Court, Saint James, NY 11780 | 2014-02-11 |
1619303336 | Kimberly Ada Flugman | Physical Therapist | 16 Deepwells Lane, St James, NY 11780 | 2013-09-26 |
1952606113 | Valley Stream Optometry Pllc | Optometrist | 129 Rockaway Avenue, Valley Stream, NY 11780 | 2011-01-20 |
1154586733 | Edward C Brant | Dentist | 447 Lake Avenue, St James, NY 11780 | 2008-07-23 |
Find all providers in zip 11780 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275181505 | Laura Jean Chilton | Counselor | 14026 S Highway 68, Saint James, MO 65559-6113 | 2019-08-29 |
1962889980 | Moran Klein | Counselor | 1 Arrowood Dr, Saint James, NY 11780-3412 | 2015-04-28 |
1639563018 | Victoria Grande | Counselor | 348 Lake Ave, Saint James, NY 11780 | 2015-03-24 |
1063818631 | Darlene Anthonisen | Counselor | 201 Armstrong Blvd S, Saint James, MN 56081-1775 | 2014-11-10 |
1962618256 | Robert A Ranieri | Counselor | 83 Astor Ave, Saint James, NY 11780-3021 | 2007-05-15 |
1417978578 | Ellen Lori Pecchia | Counselor | 204 Lake Ave, Saint James, NY 11780-2938 | 2006-07-22 |
1003337171 | Shana Marie Armstrong | Counselor | 872 Middle Country Rd, Saint James, NY 11780-3223 | 2017-06-29 |
1598207649 | Nicholas P Delguercio | Counselor | 542 N Country Rd, 2nd Floor, Saint James, NY 11780-1439 | 2016-11-07 |
1700259827 | Gabriela Rosas | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2015-11-11 |
1871657353 | Sally Walton | Counselor | 13160 County Road 3610, Saint James, MO 65559 | 2006-12-20 |
Find all providers in SAINT JAMES |
City | SAINT JAMES |
Zip Code | 11780 |
Please comment or provide details below to improve the information on JANNINE M PERGOLA.
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.