JENNIFER MARY SPADA (NPI# 1215256250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215256250 |
Entity Type | Individual |
Full Name | JENNIFER MARY SPADA |
Credential | LMHC |
Practice Address |
105 Marys Ave Kingston NY 12401-5848 |
Mailing Address |
5 Grand St Kingston NY 12401-3933 |
Practice Telephone | 8453382500 |
Practice Fax Number | 8453344835 |
Mailing Telephone | 9178857504 |
Enumeration Date | 2010-05-28 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
005108 | NY | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5 Grand St, Kingston, NY 124013933 | 9178857504 |
Street Address |
105 MARYS AVE |
City | KINGSTON |
State | NY |
Zip Code | 12401-5848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598768582 | Susan Ruth Hollar | Audiologist | 105 Marys Ave, Department of Audiology, Kingston, NY 12401-5848 | 2005-05-23 |
1699337816 | Rachel Lee Bugarin | Nurse Practitioner | 105 Marys Ave, Kingston, NY 12401-5848 | 2019-07-08 |
1417443433 | Tara Laine Mainieri | Nurse Practitioner | 105 Marys Ave, Kingston, NY 12401-5848 | 2018-07-02 |
1508387655 | Stephen Edward Dunham Sr. | Podiatrist | 105 Marys Ave, Kingston, NY 12401-5848 | 2017-06-29 |
1972037224 | Tammy Carlile | Social Worker | 105 Marys Ave, Kingston, NY 12401-5848 | 2017-04-13 |
1700164258 | Specialty Fittings, Incorporated | Prosthetic/Orthotic Supplier | 105 Marys Ave, Kingston, NY 12401-5848 | 2011-08-02 |
1013200161 | Manpreet Grewal | Psychiatry & Neurology | 105 Marys Ave, Kingston, NY 12401-5848 | 2011-05-24 |
1457680142 | Subooha Zafar, Md LLC | Internal Medicine | 105 Marys Ave, Benedictine Hospital Sleep Lab, Kingston, NY 12401-5848 | 2009-12-09 |
1518170356 | Stefania Stella Giobbe | Pathology | 105 Marys Ave, Kingston, NY 12401-5848 | 2007-05-08 |
1548311947 | Mamie Caton | Emergency Medicine | 105 Marys Ave, Kingston, NY 12401-5848 | 2007-01-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
Find all providers in zip 12401 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457976441 | Donati Counseling, Inc. | Counselor | 40 Nobadeer Cir, Kingston, MA 02364-3306 | 2020-06-15 |
1851924518 | Lisa A Mannino | Counselor | 21 Green St Apt 2, Kingston, NY 12401-4503 | 2020-02-20 |
1588131007 | Katelyn Gill | Counselor | 357 W Oreilly St Apt 1308, Kingston, NY 12401-5731 | 2018-11-02 |
1902395189 | Nancy E Lecuyer | Counselor | 28 Harvest Dr, Kingston, MA 02364-1823 | 2018-05-03 |
1194212670 | Shaun Cohen | Counselor | 79 Saint James St Fl 2, Kingston, NY 12401-4513 | 2018-04-19 |
1912420134 | Stephanie Kristal | Counselor | 275 Fair St Ste 30, Kingston, NY 12401-3882 | 2017-07-19 |
1447798442 | Michael Thacker | Counselor | 15 Meeks Rd, Kingston, NH 03848-3517 | 2017-02-09 |
1487000410 | Alexander Drakontaidis | Counselor | 30 Wilson Ave, Kingston, NY 12401-2110 | 2016-05-09 |
1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
Find all providers in KINGSTON |
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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.