MS. HENRIETTA U. ILOMUDIO (NPI# 1326659988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326659988 |
| Entity Type | Individual |
| Full Name | MS. HENRIETTA U. ILOMUDIO |
| Practice Address |
17 N Plank Rd Ste 10 Newburgh NY 12550-2111 |
| Mailing Address |
1176 E 223rd St Bronx NY 10466-5833 |
| Practice Telephone | 8458009305 |
| Mailing Telephone | 7183443382 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
17 N PLANK RD STE 10 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659896603 | The Caring Pt Group, Pllc | Physical Medicine & Rehabilitation | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-08-10 |
| 1003417221 | Daneshea Palmer | Psychologist | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2020-11-04 |
| 1760020390 | Jonathan Peyton | Psychologist | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2019-12-13 |
| 1093221525 | Ernest Nelson | Occupational Therapy Assistant | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-12-20 |
| 1881105427 | Eugennie Plummer- Edwards | Nurse Practitioner | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| 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 |
|---|---|---|---|---|
| 1376677880 | Barbara A. Kidney | Psychologist | 275 Rt 17k, Suite 220, Newburgh, NY 12550 | 2007-03-15 |
| 1396800082 | Paul S Kleinman | Psychologist | 28 Meadow St, Newburgh, NY 12550-2213 | 2006-12-25 |
| 1770689903 | Bert Cunin | Psychologist | 1607 Route 300, Suite 102, Newburgh, NY 12550-1738 | 2006-09-15 |
| 1457321416 | Martin Ogulnick | Psychologist | 410 Gidney Ave, Newburgh, NY 12550-3701 | 2006-01-24 |
| 1942791405 | Terence P Hannigan | Psychologist | 410 Gidney Ave, Newburgh, NY 12550-3763 | 2018-05-21 |
| 1760853063 | Katherine E Morton | Psychologist | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2015-10-13 |
| 1952746166 | Jonathan Kogen | Psychologist | 280 Broadway, Newburgh, NY 12550-5408 | 2013-05-01 |
| 1114297801 | Deaconess Women's Hospital of Southern Indiana, LLC | Psychologist | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2012-01-11 |
| 1376799213 | Deaconess Clinic, Inc | Psychologist | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2008-08-12 |
| 1538227756 | Severin G Wellinghoff | Psychologist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2006-12-04 |
| Find all providers in NEWBURGH | ||||
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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.