DR. CANDICE PENNELLA (NPI# 1194856336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194856336 |
| Entity Type | Individual |
| Full Name | DR. CANDICE PENNELLA |
| Credential | PSY.D. |
| Practice Address |
230 North Road Php/door #1 Poughkeepsie NY 12601 |
| Practice Telephone | 8454862784 |
| Mailing Telephone | 8454862784 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
017921 | NY | Behavioral Health & Social Service Providers |
| Street Address |
230 NORTH ROAD PHP/DOOR #1 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821104936 | Dong Choe | Psychiatry & Neurology | 230 North Road, Poughkeepsie, NY 12601-1328 | 2006-08-22 |
| 1871057653 | Jennifer Vanvoorhees | Licensed Practical Nurse | 230 North Road, Poughkeepsie, NY 12601-1328 | 2019-01-26 |
| 1972016178 | Patricia Shannon Grogan | Licensed Practical Nurse | 230 North Road, Dutchess County Department Mental Health Stabilization, Poughkeepsie, NY 12601 | 2017-11-09 |
| 1003346560 | Laura Pauline Nadel | Social Worker | 230 North Road, Poughkeepsie, NY 12601 | 2017-06-18 |
| 1891239422 | Cierra Gray | Social Worker | 230 North Road, Poughkeepsie, NY 12601 | 2016-12-16 |
| 1598963381 | Karen Jeanne Marchant | Licensed Practical Nurse | 230 North Road, Lexington Center for Recovery Mmtp, Poughkeepsie, NY 12601 | 2007-07-03 |
| 1285830364 | Kathleen Susan Anderson | Registered Nurse | 230 North Road, Lexington Center for Recovery Mmtp, Poughkeepsie, NY 12601 | 2007-06-25 |
| 1710194873 | Mitchell S Barden | Psychiatry & Neurology | 230 North Road, Poughkeepsie, NY 12601-1386 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801059142 | Rebecca Jill Martin | Psychologist | 900 Dutchess Tpke, Poughkeepsie, NY 12603-1554 | 2008-07-07 |
| 1568643450 | Daniel Edward Meyer | Psychologist | 47 S Hamilton St, Poughkeepsie, NY 12601-4116 | 2007-11-19 |
| 1265628903 | Nancy Hollinger-samson | Psychologist | 19 Scenic Dr, Poughkeepsie, NY 12603-5529 | 2007-09-17 |
| 1376604595 | Lillian Joan Lanzafame | Psychologist | 4 Mulberry Ln, Poughkeepsie, NY 12603-3747 | 2006-12-12 |
| 1689743262 | Maury Lacher | Psychologist | 37 Alda Dr, Poughkeepsie, NY 12603-5217 | 2006-11-07 |
| 1295820512 | Kenneth A. Oclatis | Psychologist | 9 Vassar St, Ste 35, Poughkeepsie, NY 12601-3022 | 2006-10-03 |
| 1528173945 | Brian J Minasian | Psychologist | 510 Haight Avenue, Suite 203 Spectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-19 |
| 1669406930 | Joseph Charles Rubsam | Psychologist | 82 Washington St, Poughkeepsie, NY 12601-2388 | 2006-07-10 |
| 1780624197 | Richard Jason Fost | Psychologist | 12 Davis Ave, Suite 2n, Poughkeepsie, NY 12603-2408 | 2006-06-07 |
| 1497737944 | Karen Joyce Goodman | Psychologist | 39 Collegeview Avenue, Poughkeepsie, NY 12603-7203 | 2005-11-18 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on DR. CANDICE PENNELLA.
| 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.