MICHAEL J. HASSELBERG (NPI# 1346448750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346448750 |
| Entity Type | Individual |
| Full Name | MICHAEL J. HASSELBERG |
| Credential | NPP |
| Practice Address |
465 N Main St John D. Kelly Behavioral Health Center Penn Yan NY 14527-1069 |
| Mailing Address |
465 N Main St Penn Yan NY 14527-1069 |
| Practice Telephone | 3155312400 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401068 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
465 N MAIN ST JOHN D. KELLY BEHAVIORAL HEALTH CENTER |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730262056 | Donna M. Fladd | Nurse Practitioner | 465 N Main St, Jdk Center, Penn Yan, NY 14527-1069 | 2006-10-23 |
| 1558700740 | Heather L. Hulse | Social Worker | 465 N Main St, John D. Kelly Behavioral Health, Penn Yan, NY 14527-1069 | 2013-06-20 |
| 1609148949 | Anna M Gifford | Counselor | 465 N Main St, John D. Kelly Behaviorial Health, Penn Yan, NY 14527-1069 | 2012-02-02 |
| 1831461177 | Norene M. Parkhurst | Licensed Practical Nurse | 465 N Main St, John D. Kelly Behavioral Health, Penn Yan, NY 14527-1069 | 2012-02-02 |
| 1285906529 | Amanda J. Hackett | Social Worker | 465 N Main St, John D. Kelly Behavorial Health, Penn Yan, NY 14527-1069 | 2012-02-02 |
| 1265704597 | Ruth H. Mcnamara | Counselor | 465 N Main St, John D. Kelly Behaviorial Health, Penn Yan, NY 14527-1069 | 2012-02-02 |
| 1275729410 | Marilyn S Sutherland | Nurse Practitioner | 465 N Main St, Jdk Behavorial Health Center, Penn Yan, NY 14527-1069 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
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| 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.