DR. JONATHAN L. WILSON TREIBLE


Address: 719 Englewood Ave, Buffalo, NY 14223-2406
Phone: 7164801947

DR. JONATHAN L. WILSON TREIBLE (NPI# 1407864549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407864549
Entity Type Individual
Full Name DR. JONATHAN L. WILSON TREIBLE
Credential PH.D. ABPP
Practice Address 719 Englewood Ave
Buffalo
NY 14223-2406
Mailing Address Po Box 443
Buffalo
NY 14223-0443
Practice Telephone 7164801947
Practice Fax Number 7164644951
Mailing Telephone 7164801997
Mailing Fax Number 7164644951
Enumeration Date 2006-08-04
Last Update Date 2016-12-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0078691 NY Behavioral Health & Social Service Providers

Office Location

Street Address 719 ENGLEWOOD AVE
City BUFFALO
State NY
Zip Code 14223-2406

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1710122908 Abintra Psychological Associates, LLC Psychologist 135 Pine St Ste B, Buffalo, WY 82834-2332 2008-12-02
1487843488 Rolf Edward Sovik Psychologist 841 Delaware Ave, Buffalo, NY 14209-2007 2007-10-16
1003034992 Peter Alex Cogswell Psychologist 1028 Main Street, Children's Psychiatry Clinic, Buffalo, NY 14202 2007-04-23
1528199189 J. Lynnette Wee Psychologist 677 W Ferry St, Buffalo, NY 14222-1605 2007-03-07
1972696359 Arlene Burrows Psychologist 6024 Main St, Buffalo, NY 14221-6833 2006-09-30
1083635114 Frank M Sturniolo Jr. Psychologist 796 Niagara Falls Blvd, Buffalo, NY 14223-1838 2006-07-22
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Competitor

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City BUFFALO
Zip Code 14223

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Dataset Information

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.

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