MS. JENNIFER L HAAK (NPI# 1205925039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205925039 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER L HAAK |
| Credential | M.D. |
| Practice Address |
650 Ridge Rd Lackawanna NY 14218-1435 |
| Practice Telephone | 7168289655 |
| Practice Fax Number | 7168289745 |
| Mailing Telephone | 7168289655 |
| Mailing Fax Number | 7168289745 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
227149 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427583145 | Jennifer Haak | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2017-05-01 |
| 1982052718 | Jennifer Haak | Licensed Practical Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2016-06-02 |
| Street Address |
650 RIDGE RD |
| City | LACKAWANNA |
| State | NY |
| Zip Code | 14218-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685508 | Danielle Dylik | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1498 | 2018-10-22 |
| 1205330362 | Kathryn Cooper | Counselor | 650 Ridge Rd, Lackawanna, NY 14218-1498 | 2018-03-22 |
| 1841798923 | Christine Frank | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2018-01-24 |
| 1992218143 | Sandra Hansen | Counselor | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2017-11-09 |
| 1528436466 | Emily Gow | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2015-09-09 |
| 1568856243 | April Arman | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2015-03-20 |
| 1689090086 | Courtney Springer | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2014-03-10 |
| 1861814816 | Lea Nicole Askew | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2014-01-10 |
| 1457696320 | Sheila M Dina | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2012-12-04 |
| 1700178449 | Janelle Marie Ventura | Social Worker | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2011-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
| 1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
| 1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
| 1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
| 1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
| 1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
| Find all providers in zip 14218 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669539029 | Daniel Mangold | Psychiatry & Neurology | 790 Ridge Rd, Baker Victory Services, D. Mangold, M.d., Lackawanna, NY 14218-1629 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | LACKAWANNA |
| Zip Code | 14218 |
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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.