RICHARD J DACKOW (NPI# 1255437505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255437505 |
| Entity Type | Individual |
| Full Name | RICHARD J DACKOW |
| Credential | PH.D. |
| Practice Address |
15 Donald St Eastport NY 11941-1401 |
| Mailing Address |
230 W Main St Riverhead NY 11901-2841 |
| Practice Telephone | 5163304545 |
| Practice Fax Number | 5166548870 |
| Mailing Telephone | 6313697287 |
| Mailing Fax Number | 6313695244 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 011170 | NY | Behavioral Health & Social Service Providers |
| Street Address |
15 DONALD ST |
| City | EASTPORT |
| State | NY |
| Zip Code | 11941-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052589 | Dr Richard J Dackow Psychology Services PC | Psychologist | 15 Donald St, Eastport, NY 11941-1401 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063722189 | Berkley Kingston Skorobohaty | Speech-Language Pathologist | 390b Montauk Highway, Eastport, NY 11941 | 2010-10-08 |
| 1710150289 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 240 Old Country Rd, Eastport, NY 11941 | 2008-04-07 |
| 1548433006 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 535 Moutauk Highway, Eastport, NY 11941 | 2008-04-07 |
| 1427327022 | Bevin L James | Behavioral Analyst | 11 Mortimer Pl, Eastport, NY 11941-1106 | 2011-12-28 |
| 1649304551 | William T Donovan | Counselor | 9 Mott Pl, Eastport, NY 11941-1124 | 2007-03-15 |
| 1285783795 | Touch of Life Chiropractic East PC | Chiropractor | 581 Montauk Hwy, Eastport, NY 11941-1128 | 2007-01-10 |
| 1578811170 | Melissa M Montelione | Registered Nurse | 32a River Ave, Eastport, NY 11941-1205 | 2012-08-29 |
| 1326580036 | Janis Hurley | Social Worker | 8 Lakeview Ct, Eastport, NY 11941-1208 | 2016-11-11 |
| 1104166545 | Alyssa Tillinghast | Occupational Therapist | 10 Lakeview Ct, Eastport, NY 11941-1208 | 2013-02-21 |
| 1538418819 | Kian Mcburnie | Speech-Language Pathologist | 21 Lakeview Ct, Eastport, NY 11941-1209 | 2012-09-02 |
| Find all providers in zip 11941 | ||||
| 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 |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
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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.