HERMAN M DAVIDOVICZ & STUART ROTHMAN PTR (NPI# 1235596263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235596263 |
Entity Type | Organization |
Organization Name | HERMAN M DAVIDOVICZ & STUART ROTHMAN PTR |
Other Organization Name | LI NEURI PSYCHOLOGICAL CONSULTANTS |
Practice Address |
45 N Station Plz Room 305 Great Neck NY 11021-5033 |
Practice Telephone | 5164874466 |
Practice Fax Number | 5164874485 |
Mailing Telephone | 5164874466 |
Mailing Fax Number | 5164874485 |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-05-18 |
Authorized Official Name | STUART ROTHMAN (PARTNER) |
Authorized Official Telephone | 5164874466 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
LI Neuri Psychological Consultants | Doing Business As Name - Organization |
Street Address |
45 N STATION PLZ ROOM 305 |
City | GREAT NECK |
State | NY |
Zip Code | 11021-5033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104807106 | Howard Samuel Green | Psychiatry & Neurology | 45 N Station Plz, Suite 209, Great Neck, NY 11021-5011 | 2005-11-08 |
1043704042 | Mery Arias | Occupational Therapist | 45 N Station Plz, Great Neck, NY 11021-5033 | 2018-06-21 |
1639669625 | Gabrielle Labranche | Speech-Language Pathologist | 45 N Station Plz, Great Neck, NY 11021-5033 | 2018-05-15 |
1891243325 | Shannon Wilson | Occupational Therapist | 45 N Station Plz, Great Neck, NY 11021-5033 | 2016-09-13 |
1023477767 | Yael Shayne | Social Worker | 45 N Station Plz, Suite 305, Great Neck, NY 11021-5033 | 2016-02-22 |
1710322060 | Ewa D Dynda | Speech-Language Pathologist | 45 N Station Plz, Great Neck, NY 11021-5033 | 2013-04-30 |
1346526894 | Ronald Louis Savarese | Social Worker | 45 N Station Plz, Suite 310, Great Neck, NY 11021-5033 | 2011-10-28 |
1538491527 | Josephine Palleja | Social Worker | 45 N Station Plz, Suite 215, Great Neck, NY 11021-5011 | 2010-02-02 |
1912142647 | Brian J Rickard | Occupational Therapist | 45 N Station Plz, Great Neck, NY 11021-5011 | 2008-12-09 |
1467697284 | Sari Lynn Ginsberg | Occupational Therapist | 45 N Station Plz, Suite 101, Great Neck, NY 11021-5011 | 2008-12-08 |
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1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
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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 |
---|---|---|---|---|
1043590854 | Kimberly Williams | Clinical Neuropsychologist | 935 Northern Blvd. Suite 203, Great Neck, NY 11021 | 2011-08-24 |
1740637362 | Yael Cukier | Clinical Neuropsychologist | 611 Northern Blvd, Suite 150, Great Neck, NY 11021-5207 | 2016-05-24 |
1154677151 | Nehal P Vadhan | Clinical Neuropsychologist | 11 Grace Ave Ste 204, Great Neck, NY 11021-2417 | 2012-07-27 |
1275611303 | Stuart Rothman | Clinical Neuropsychologist | 45 N Station Plz, Great Neck, NY 11021-5011 | 2006-11-02 |
1457437923 | Rebecca Sophir-kusnetz | Clinical Neuropsychologist | 98 Cuttermill Rd, Suite 399 North, Great Neck, NY 11021-3036 | 2006-10-27 |
1376631754 | Herman M. Davidovicz | Clinical Neuropsychologist | 45 N Station Plz, Suite 305, Great Neck, NY 11021-5011 | 2006-10-10 |
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 |
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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 |
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City | GREAT NECK |
Zip Code | 11021 |
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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.