PAMELA CARROLL (NPI# 1194119735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194119735 |
| Entity Type | Individual |
| Full Name | PAMELA CARROLL |
| Practice Address |
16 Degrandpre Way Suite 200 Plattsburgh NY 12901-6451 |
| Mailing Address |
71 Brunell Rd Altona NY 12910-2402 |
| Practice Telephone | 5185616361 |
| Mailing Telephone | 5182044112 |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2015-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881924850 | Pamela R Carroll | Marriage & Family Therapist | 2141 N Cleveland Ave, Chicago, IL 60614-4508 | 2010-01-13 |
| 1992248322 | Pamela Carroll | Technician/Technologist | 516 Westgate Dr, Brockton, MA 02301-1816 | 2016-12-03 |
| 1235440074 | Pamela Carroll | Nurse Practitioner | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2010-06-26 |
| 1144482506 | Pamela T Carroll | Obstetrics & Gynecology | 1200 Old York Rd, Department of Ob/gyn, Abington, PA 19001-3720 | 2008-06-26 |
| 1760594394 | Pamela Elaine Carroll | Social Worker | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-08-31 |
| Street Address |
16 DEGRANDPRE WAY SUITE 200 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-6451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051000 | David B. Wagar | Radiology | 16 Degrandpre Way, Suite 600, Plattsburgh, NY 12901 | 2005-08-30 |
| 1932618824 | Anthony Michael Montesano | Speech-Language Pathologist | 16 Degrandpre Way, Plattsburgh, NY 12901-6451 | 2017-09-25 |
| 1144774324 | Brittany Dubay | Specialist | 16 Degrandpre Way, Plattsburgh, NY 12901-6451 | 2016-08-05 |
| 1225407802 | Sandra Trombley | Specialist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-09-24 |
| 1346618204 | Amanda Smith | Specialist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-09-09 |
| 1720455520 | Meredith Torrance | Specialist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-08-27 |
| 1518343854 | Danielle Swart | Student in an Organized Health Care Education/Training Program | 16 Degrandpre Way, Plattsburgh, NY 12901-6451 | 2015-08-10 |
| 1164850053 | Lake City Primary Care Pllc | Internal Medicine | 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901-6451 | 2013-10-31 |
| 1720368418 | Laura C Oliva | Dietitian, Registered | 16 Degrandpre Way, Suite 100, Plattsburgh, NY 12901-6451 | 2011-08-25 |
| 1881749067 | Richard Webber | Internal Medicine | 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901-6451 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417569310 | Deborah Spivak | Developmental Therapist | 1473 Granada Pl, Far Rockaway, NY 11691-1707 | 2020-08-20 |
| 1891313557 | Shirly Ulfan | Developmental Therapist | 9119 71st Ave, Forest Hills, NY 11375-6704 | 2020-07-09 |
| 1558983585 | Easy Steps Inc | Developmental Therapist | 1710 77th St Apt A5, Brooklyn, NY 11214-1154 | 2020-05-13 |
| 1619501244 | Quality Guidance Inc | Developmental Therapist | 40 Shore Blvd Apt 3l, Brooklyn, NY 11235-4033 | 2020-02-22 |
| 1871126987 | Easypuzzle1-2-3, Inc | Developmental Therapist | 2800 Coyle St Apt 416, Brooklyn, NY 11235-1767 | 2020-02-17 |
| 1316578669 | Samia Cyrille Douglas | Developmental Therapist | 12 Nassau Rd Apt 2, Yonkers, NY 10710-1618 | 2020-01-27 |
| 1770122137 | Kimberly Moro | Developmental Therapist | 76 Colby Ln, Briarcliff, NY 10510-1749 | 2020-01-03 |
| 1265071930 | Nicole Milstein | Developmental Therapist | 35 Geyser Dr, Staten Island, NY 10312-1613 | 2019-12-30 |
| 1720639289 | Dina Krausz | Developmental Therapist | 4511 14th Ave, Brooklyn, NY 11219-2107 | 2019-09-26 |
| 1972154698 | Melissa Megan Hurley | Developmental Therapist | 157 Tremont Ave, Kenmore, NY 14217-2333 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.