DR. MICHAEL PHILLIP SANTA MARIA (NPI# 1356440614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356440614 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PHILLIP SANTA MARIA |
| Credential | PH.D. |
| Practice Address |
445 Tremont St Suite 323 North Tonawanda NY 14120-6150 |
| Mailing Address |
Po Box 750 North Tonawanda NY 14120-0750 |
| Practice Telephone | 7166902560 |
| Practice Fax Number | 7166902585 |
| Mailing Telephone | 7166902560 |
| Mailing Fax Number | 7166902585 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 014396 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02186592 | 05 | |
| NY | UNIVERA PROVIDER NUMBER | 00025453102 | 01 |
| NY | BLUE CROSS/COMMUNITY BLUE | 000526368004 | 01 |
| NY | INDEPENDENT HEALTH | 9711291 | 01 |
| NY | VALUE OPTIONS | 492457 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934477 | Michael Santa Maria | Physical Therapist | 420 Lake Cook Rd, Suite 101, Deerfield, IL 60015-5646 | 2015-10-18 |
| Street Address |
445 TREMONT ST SUITE 323 |
| City | NORTH TONAWANDA |
| State | NY |
| Zip Code | 14120-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299892 | Twin City Physicians Group P.C. | Emergency Medicine | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2006-03-15 |
| 1699235580 | Ann Marie Jacobs | Nurse Practitioner | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2019-03-25 |
| 1407389109 | Molly Eimer | Nurse Practitioner | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2017-04-10 |
| 1255881819 | Holly Rosene Layer | Dietitian, Registered | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2016-10-07 |
| 1558765768 | Marianne Bauerlein | Pharmacist | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2014-10-17 |
| 1619218906 | Gretchen Ann Bergdolt | Dietitian, Registered | 445 Tremont St, Degraff Memorial Hospital, North Tonawanda, NY 14120-6150 | 2013-03-12 |
| 1346587037 | Geoffrey Roeser | Physician Assistant | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2013-01-15 |
| 1154694651 | Rita Raquel Huerta | Nurse Practitioner | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2012-02-14 |
| 1124398920 | John P Patti Md | Hospitalist | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2012-01-10 |
| 1386877942 | Jill Schleifer Schneggenburger | Physical Medicine & Rehabilitation | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2009-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894888 | Theresa Lynn Rogers | Driver | 40 Carruthers Pl, North Tonawanda, NY 14120 | 2019-08-01 |
| 1861969065 | Christine Elizabeth Oliveri | Physician Assistant | 7348 Graydon Dr., North Tonawanda, NY 14120 | 2018-10-26 |
| 1619444825 | Katherine Gabrielle Rodriguez | Physician Assistant | 6929 Maple Dr., North Tonawanda, NY 14120 | 2018-10-25 |
| 1598204703 | Vicki Ann Dimaria | Registered Nurse | 624 River Road, Suite 8, North Tonawanda, NY 14120 | 2017-02-21 |
| 1720537442 | Twin Cities Meals On Wheels | Home Delivered Meals | 100 Ridge Road, North Tonawanda, NY 14120 | 2016-09-22 |
| 1558712489 | Adeel Amir | Family Medicine | 1089 Kinkead Ave Ste 111, North Tonawanda, NY 14120 | 2016-06-22 |
| 1962850339 | Mary Elizabeth T. Wellence | Counselor | 3376 Niagara Falls Blvd., Suite 5, North Tonawanda, NY 14120 | 2016-05-26 |
| 1154745677 | John Meena Yacoub | Dentist | 30-18 208th St, Bayside, NY 14120 | 2014-02-05 |
| 1780934588 | Patricia Bogdan | Registered Nurse | 89 B River Road, North Tonawanda, NY 14120 | 2012-09-19 |
| 1073871299 | Nicole Kerner | Social Worker | 455 Meadow Drive, North Tonawanda, NY 14120 | 2012-04-25 |
| Find all providers in zip 14120 | ||||
| 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 |
|---|---|---|---|---|
| 1922276484 | Neuropsychology & Psychology Services, P.C. | Clinical Neuropsychologist | 445 Tremont St, Suite 323, North Tonawanda, NY 14120-6150 | 2008-02-18 |
| 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 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH TONAWANDA |
| Zip Code | 14120 |
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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.