HEATHER L GREEN (NPI# 1407492978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407492978 |
| Entity Type | Individual |
| Full Name | HEATHER L GREEN |
| Practice Address |
2112 Erie Blvd E Ste 200 Syracuse NY 13224-1041 |
| Practice Telephone | 3154721212 |
| Practice Fax Number | 3154721218 |
| Mailing Telephone | 3154721212 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
28998 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922534791 | Heather Green | Registered Nurse | 3201 Tulip Dr, Indianapolis, IN 46227-7723 | 2017-05-11 |
| 1457891137 | Heather Green | Marriage & Family Therapist | 3312 Citrus St, Lemon Grove, CA 91945-2217 | 2017-03-01 |
| 1245683176 | Heather Nicole Green | Pharmacist | 230 Lone Pine Dr, Palm Beach Gardens, FL 33410-2467 | 2016-07-15 |
| 1265820690 | Heather Green | Specialist | 4201 Chapman Way, Lake Oswego, OR 97035-5562 | 2015-01-08 |
| 1487693420 | Heather C. Green | Family Medicine | 1325 Triplett St # B, Owensboro, KY 42303-3163 | 2006-06-05 |
| 1134601164 | Heather Green | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-09-06 |
| 1336660042 | Heather Nicole Green | Speech-Language Pathologist | 9508 Griffin Rd, Cooper City, FL 33328-3416 | 2017-07-03 |
| 1013445618 | Heather May Green | Case Management | 1509 1st Ave, Scottsbluff, NE 69361-3106 | 2017-05-25 |
| 1548617186 | Heather Lee Green | Nurse Practitioner | 3997 Beckley Rd, Princeton, WV 24740-7660 | 2016-05-23 |
| 1104294511 | Heather Green | Social Worker | 661 E Main St, Abingdon, VA 24210-2339 | 2015-09-02 |
| Street Address |
2112 ERIE BLVD E STE 200 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13224-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063963486 | Forensic Consultants, Ltd. | Public Health or Welfare | 2112 Erie Blvd E Ste 200, Syracuse, NY 13224-1041 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329534 | Judie Lyn Gordon-louison | Registered Nurse | 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 | 2019-04-25 |
| 1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
| 1043604762 | Heather Lynn Blum | Licensed Practical Nurse | 120 Niven Street, Syracuse, NY 13224 | 2015-03-19 |
| 1912226523 | Florence Delisi | Licensed Practical Nurse | 2315 East Fayette St, Syracuse, NY 13224 | 2010-05-21 |
| 1336476563 | Kimberlee Anne Difulio | Licensed Practical Nurse | 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 | 2009-11-09 |
| 1134371081 | Amy Lynn Ezekiel | Speech-Language Pathologist | 3049 East Genesee Street, Syracuse, NY 13224 | 2008-10-22 |
| 1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
| 1447317037 | Fumiyo Hirano | Social Worker | 182 Edgehill Road, Syracuse, NY 13224 | 2007-01-02 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
| 1235222530 | Bernadine Alese Martin | Dentist | 1125 Salt Springs Road, Syracuse, NY 13224 | 2006-10-02 |
| Find all providers in zip 13224 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041929 | Central New York Services | Counselor | 321 W Onondaga St Ste 201, Syracuse, NY 13202-3207 | 2017-02-09 |
| 1326444860 | Lynn Hylwa | Counselor | 344 W Genesee St, Syracuse, NY 13202-1100 | 2014-11-11 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| 1952550592 | Wendy Kay Beale | Counselor | 770 James St Ste 215, Syracuse, NY 13203-2644 | 2008-09-18 |
| 1114051026 | Sarah S White | Counselor | 201 Miles Ave, Syracuse, NY 13210-3117 | 2007-03-15 |
| 1609931765 | Syracuse Recovery Services | Counselor | 109 S Warren St Ste 806, Syracuse, NY 13202-4721 | 2006-12-27 |
| 1245393115 | Recovery Counseling Services | Counselor | 109 S Warren St Ste 508, Syracuse, NY 13202-4734 | 2006-12-19 |
| 1205469210 | Kerry Leigh Anderson | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-02-18 |
| 1487287827 | Amy Ankrum | Counselor | 319 E Water St, Syracuse, NY 13202-1123 | 2020-02-13 |
| Find all providers in SYRACUSE | ||||
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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.