DR. MARYANNE GRANDE HAMILTON (NPI# 1215030358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215030358 |
| Entity Type | Individual |
| Full Name | DR. MARYANNE GRANDE HAMILTON |
| Credential | PHD |
| Practice Address |
760 Perinton Hills Office Park Fairport NY 14450 |
| Mailing Address |
1498 East Ave Rochester NY 14610 |
| Practice Telephone | 5852235920 |
| Practice Fax Number | 5852235727 |
| Mailing Telephone | 5854423415 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 004209 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 7408318 | 05 | |
| NY | PREFERRED CARE | 100140FC | 01 |
| Street Address |
760 PERINTON HILLS OFFICE PARK |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116765 | Myrna Hill | Counselor | 760 Perinton Hills Office Park, Fairport, NY 14450-3615 | 2006-12-02 |
| 1093818486 | Jennifer Litterick Song | Psychologist | 760 Perinton Hills Office Park, Fairport, NY 14450 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| 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 |
|---|---|---|---|---|
| 1588767636 | Vincent Pandolfi | Psychologist | 620 Cross Keys Office Park, Fairport, NY 14450-3508 | 2006-09-06 |
| 1760431043 | Leon Joseph Schofield | Psychologist | 465 Cross Keys Office Park, Fairport, NY 14450-3506 | 2006-05-06 |
| 1972076826 | Timothy R Trott | Psychologist | 149 N Main St, Fairport, NY 14450-1434 | 2019-01-03 |
| 1265790281 | Aubrey Zamiara | Psychologist | 620 Cross Keys Office Park, Fairport, NY 14450-3508 | 2012-04-27 |
| 1063792190 | Bethany Claes | Psychologist | 620 Crosskeys Office Park, Fairport, NY 14450-3508 | 2011-08-21 |
| 1114240959 | Rebecca Ann Gellman | Psychologist | 620 Crosskeys Office Park, Fairport, NY 14450-3508 | 2010-03-08 |
| 1144304502 | Rochester Psychological Associates Pllc | Psychologist | 620 Crosskeys Office Park, Fairport, NY 14450 | 2006-10-24 |
| 1518058981 | Kathryn Ann Bamford | Psychologist | 620 Cross Keys Office Park, Fairport, NY 14450-3508 | 2006-09-28 |
| 1942301346 | Jennifer Adele Lukomski | Psychologist | 620 Crosskeys Office Park, Fairport, NY 14450-3508 | 2006-09-26 |
| 1093818486 | Jennifer Litterick Song | Psychologist | 760 Perinton Hills Office Park, Fairport, NY 14450 | 2006-09-07 |
| Find all providers in FAIRPORT | ||||
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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.