MRS. LINDA DIANE SOUTHARD (NPI# 1356602403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356602403 |
| Entity Type | Individual |
| Full Name | MRS. LINDA DIANE SOUTHARD |
| Credential | MSED,BCABA |
| Practice Address |
81 Secatogue Ave Unit 16 Farmingdale NY 11735-1984 |
| Practice Telephone | 5166550686 |
| Practice Fax Number | 5163796053 |
| Mailing Telephone | 5166550686 |
| Mailing Fax Number | 5163796053 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362901 | Linda Bussey Southard | Counselor | 1913 Georgetown Dr, Denton, TX 76201-1736 | 2020-06-30 |
| Street Address |
81 SECATOGUE AVE UNIT 16 |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588207336 | Victoria Kornfeld | Specialist | 30 Lockwood Ave, Farmingdale, NY 11735-4505 | 2019-10-24 |
| 1942775440 | Nancy Lee Fili | Specialist | 18 Yoakum Ave, Farmingdale, NY 11735-5055 | 2018-10-10 |
| 1427537083 | Lauren Merzbacher | Specialist | 240 Van Cott Ave, Farmingdale, NY 11735-3632 | 2018-08-14 |
| 1609362185 | Nancy Kruger | Specialist | 28 9th Ave, Farmingdale, NY 11735-5741 | 2018-07-08 |
| 1629566443 | Donna Mccrory | Specialist | 51 Reeves Ave, Farmingdale, NY 11735-1627 | 2018-04-26 |
| 1407360621 | Tara Eve Mueger | Specialist | 26 Meadow Wood Ln, Farmingdale, NY 11735-6703 | 2017-11-27 |
| 1932657954 | Samantha Grace Natale | Specialist | 10 Ivy St Apt 3a, Farmingdale, NY 11735-2327 | 2016-09-19 |
| 1487007084 | Christiane Stallone | Specialist | 16 Poplar Avenue, Farmingdale, NY 11735-5927 | 2016-07-19 |
| 1518379882 | Lisa Kuznicki | Specialist | 500 Bi-county Blvd, Suite 114, Farmingdale, NY 11735 | 2014-05-21 |
| 1598198202 | Jennifer Lynn Rottkamp | Specialist | 190 Fulton St Apt 1, Second Floor (side Door), Farmingdale, NY 11735-2556 | 2013-08-16 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on MRS. LINDA DIANE SOUTHARD.
| 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.