DR. MARY ELIZABETH JEANNOTTE


Address: 7030 E Genesee St, Fayetteville, NY 13066
Phone: 3156820871

DR. MARY ELIZABETH JEANNOTTE (NPI# 1265455620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265455620
Entity Type Individual
Full Name DR. MARY ELIZABETH JEANNOTTE
Credential PHD
Practice Address 7030 E Genesee St
Fayetteville
NY 13066
Practice Telephone 3156820871
Mailing Telephone 3156820871
Enumeration Date 2006-07-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 0122191 NY Behavioral Health & Social Service Providers

Office Location

Street Address 7030 E GENESEE ST
City FAYETTEVILLE
State NY
Zip Code 13066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245274398 Jud Staller Psychiatry & Neurology 7030 E Genesee St, Fayetteville, NY 13066-1121 2006-06-16
1275839821 Niamh Doyle Psychologist 7030 E Genesee St, Fayetteville, NY 13066-1121 2011-01-31
1205089992 Consultation Services of Central New York - Medicine Provider, Pllc Clinic/Center 7030 E Genesee St, Suite 109, Fayetteville, NY 13066-1121 2008-10-28
1568635290 Maria Ditullio Counselor 7030 E Genesee St, Fayetteville, NY 13066-1121 2008-04-02
1780893792 Matthew Henry Rosa Psychiatry & Neurology 7030 E Genesee St, Suite 109, Fayetteville, NY 13066-1121 2007-05-22
1386857217 Jill Weldum Marriage & Family Therapist 7030 E Genesee St, Fayetteville, NY 13066-1121 2007-05-07
1487792438 Lynn Carol Koss Speech-Language Pathologist 7030 E Genesee St, The White House Professional Offices, Fayetteville, NY 13066-1121 2007-02-02
1982793824 Cornelia Maria Buur Social Worker 7030 E Genesee St, Fayetteville, NY 13066-1121 2006-10-11
1063509552 Tracy A Lunney Counselor 7030 E Genesee St, Fayetteville, NY 13066-1121 2006-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1699221432 Roman Batyuk Nurse Practitioner 4100 Medical Center Drive, Fayetteville, NY 13066 2016-08-31
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
1689815805 Menorah Park Group Residents Clinic/Center 12 Jamar Drive, Dewitt, NY 13066 2009-03-18
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952939811 A4psychology, Pllc Psychologist 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 2020-03-27
1639725161 Lauren Rosso Psychologist 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 2019-08-12
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1912483348 Young Psychological Services, Pllc Psychologist 3800 Sunchase Dr, Fayetteville, NC 28306-8099 2018-07-18
1265951784 Robert D Felner Psychologist 1255 N Montview Dr, Fayetteville, AR 72701-2892 2017-09-15
1851814230 Blakely Low Psychologist 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 2017-07-18
1528479169 Rebecca Crain Psychologist 2504 Raeford Rd Ste 102, Fayetteville, NC 28305-5135 2014-05-16
1114344330 Lesley Teitelbaum Psychologist 5080 Bridle Path Rd, Fayetteville, NY 13066-9734 2014-03-26
1740605062 Kimberlee Alane Cooper Psychologist 1200 Fairmont Ct, Fayetteville, NC 28304-4403 2014-02-24
1497176093 Cheryl Funsch Smith Psychologist 2031 N Green Acres Rd Ste A, Fayetteville, AR 72703-2619 2013-12-27
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City FAYETTEVILLE
Zip Code 13066

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Dataset Information

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.

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