FERNDALE PSYCHOLOGICAL SERVICES, PC. (NPI# 1225454259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225454259 |
| Entity Type | Organization |
| Organization Name | FERNDALE PSYCHOLOGICAL SERVICES, PC. |
| Practice Address |
111 Sullivan Ave Suite 2-5 Ferndale NY 12734-4315 |
| Practice Telephone | 8452926222 |
| Practice Fax Number | 8452926220 |
| Mailing Telephone | 8452926222 |
| Mailing Fax Number | 8452926220 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | DR. MICHAEL E SCHWARTZ (PRESIDENT) |
| Authorized Official Telephone | 8452926222 |
| Authorized Official Credential | PSYD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6815434 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
68-15434 | NY | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 6815434 | NY | Behavioral Health & Social Service Providers |
| Street Address |
111 SULLIVAN AVE SUITE 2-5 |
| City | FERNDALE |
| State | NY |
| Zip Code | 12734-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898891 | Joseph D Lazaro | Physical Therapist | 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 | 2005-11-16 |
| 1164827317 | Ferndale Psychological Services | Psychologist | 111 Sullivan Ave, Suite 2-5, Ferndale, NY 12734-4315 | 2014-10-30 |
| 1760666093 | Liberty Medical Group, LLP | Internal Medicine | 111 Sullivan Ave, Ferndale, NY 12734-4315 | 2007-12-21 |
| 1902997091 | Dennis Waxman | Physician Assistant | 111 Sullivan Ave, Ferndale, NY 12734-4315 | 2006-09-27 |
| 1134137631 | Michael E Schwartz | Clinical Neuropsychologist | 111 Sullivan Ave, Suite 2-5, Ferndale, NY 12734-4315 | 2006-08-03 |
| 1265482954 | Excel Physical Therapy & Wellness, PC | Physical Therapist | 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 | 2006-05-11 |
| 1639138191 | Jessica Lazaro | Physical Therapist | 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 | 2006-03-22 |
| 1568434389 | Brian Keith Mungeer | Chiropractor | 111 Sullivan Ave, Suite 1-7, Ferndale, NY 12734-4315 | 2006-02-06 |
| 1528045416 | David Schwalb | Internal Medicine | 111 Sullivan Ave, Liberty Medical Group, Ferndale, NY 12734-4315 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346553195 | Devorah Schwebel | Speech-Language Pathologist | 140 Upper Ferndale Road, Ferndale, NY 12734 | 2010-07-22 |
| 1215029491 | Yvonne Cynthia Newland Pagan | Otolaryngology | 653 Harris Road, Ferndale, NY 12734 | 2006-09-28 |
| 1215961693 | Linda Rene Thompson | Registered Nurse | 652 Harris Road, Ferndale, NY 12734 | 2006-07-10 |
| 1639242787 | Yvonne C Newland Pagan Md PC | Otolaryngology | 653 Harris Road, Ferndale, NY 12734 | 2006-11-16 |
| 1417965401 | Diane Mary Monahan | Licensed Practical Nurse | 39 Old Monticello Rd, Ferndale, NY 12734 | 2006-08-04 |
| 1104315092 | Joan Parvi | Licensed Practical Nurse | 531 Old White Lake Tpke, Ferndale, NY 12734-5016 | 2018-05-07 |
| 1477819142 | Lori S Adamson | Licensed Practical Nurse | 339 Harris Rd, Ferndale, NY 12734-5130 | 2012-04-07 |
| 1508922741 | Ferndale Adult Health N.p. Pllc | Nurse Practitioner | 653 Harris Rd, Ferndale, NY 12734-5134 | 2006-12-30 |
| 1639168933 | Iftikhar-ahmad Shahid Chouhdry | Internal Medicine | 653 Harris Rd, Ferndale, NY 12734-5142 | 2005-10-19 |
| 1639305899 | Delaware Catskill Hematology and Cancer Care Pllc | Internal Medicine | 653 Harris Rd, Ferndale, NY 12734-5142 | 2009-06-02 |
| Find all providers in zip 12734 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932610359 | Silver Linings: Integrative Care, Pllc | Clinical Neuropsychologist | 1521 Camden St, Ferndale, MI 48220-2671 | 2017-10-12 |
| 1134137631 | Michael E Schwartz | Clinical Neuropsychologist | 111 Sullivan Ave, Suite 2-5, Ferndale, NY 12734-4315 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
| 1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
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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.