DR. THOMAS RICHARD ZASTOWNY (NPI# 1376734707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376734707 |
Entity Type | Individual |
Full Name | DR. THOMAS RICHARD ZASTOWNY |
Credential | PHD |
Practice Address |
1513 South Ave Rochester NY 14620-2926 |
Practice Telephone | 5857871560 |
Practice Fax Number | 5857871560 |
Mailing Telephone | 5857871560 |
Mailing Fax Number | 5857871560 |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
007889 | NY | Behavioral Health & Social Service Providers |
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
007889 | NY | Behavioral Health & Social Service Providers |
Street Address |
1513 SOUTH AVE |
City | ROCHESTER |
State | NY |
Zip Code | 14620-2926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134546633 | Ellen Shustorovich | Psychologist | 1513 South Ave, Rochester, NY 14620-2926 | 2014-03-21 |
1346682960 | Kaitlin Carrozza | Psychologist | 1513 South Ave, Rochester, NY 14620-2926 | 2013-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
Find all providers in zip 14620 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225466089 | Miri Arie | Psychologist | 1815 S Clinton Ave., Suite 630, Rochester, NY 14618 | 2013-10-14 |
1588952303 | Edward L Deci | Psychologist | 429 Meliora Hall, University of Rochester, Rochester, NY 14627-0266 | 2011-07-13 |
1689810871 | Linda Marie-latronica Bull | Psychologist | 850 W University Dr Ste C, Rochester, MI 48307-1845 | 2008-12-18 |
1093897498 | Quixote Consulting | Psychologist | 7038 191st Ave Sw, Rochester, WA 98579-8719 | 2006-10-19 |
1730179995 | Rochester Center for Autism, Inc | Psychologist | 1220 4th Ave Sw, Rochester, MN 55902-3834 | 2005-10-27 |
1811416670 | Gina Dilly | Psychologist | 300 1st Ave Nw Ste 200, Rochester, MN 55901-2830 | 2017-09-13 |
1124498332 | Stephanie Geter | Psychologist | 110 Allens Creek Rd, Rochester, NY 14618-3304 | 2015-09-30 |
1770908659 | Frederick D Kemp | Psychologist | 7038 191st Ave Sw, Rochester, WA 98579-8719 | 2014-02-28 |
1902236078 | Jill Renea Snuggerud | Psychologist | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-11-26 |
1235148107 | Patricia A Gaudieri | Psychologist | 601 Elmwood Ave, Rochester, NY 14642-8409 | 2006-08-07 |
Find all providers in ROCHESTER |
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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.