MR. ROSSELL LOUIS LACEY (NPI# 1417449935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417449935 |
Entity Type | Individual |
Full Name | MR. ROSSELL LOUIS LACEY |
Credential | CASAC-T |
Practice Address |
172 Liberty St Newburgh NY 12550-4912 |
Practice Telephone | 8453425941 |
Mailing Telephone | 8453425941 |
Enumeration Date | 2018-05-31 |
Last Update Date | 2018-05-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
33454 | NY | Behavioral Health & Social Service Providers |
Street Address |
172 LIBERTY ST |
City | NEWBURGH |
State | NY |
Zip Code | 12550-4912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306184312 | Jeffrey Michael Spitz | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2013-01-25 |
1578172367 | Holland Ann Troeger | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2020-07-28 |
1053959163 | Alexandra Marie Nowack | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2019-12-19 |
1265097471 | Rebecca Slevin | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2019-05-02 |
1083118830 | Marie Colla | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2018-03-19 |
1548763600 | Jessica Marie Del Gaudio | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2018-03-15 |
1639672751 | Ildefonso Alfonso Oquendo Jr. | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2018-03-15 |
1912434259 | Andrew Merrill Mckay | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2017-05-17 |
1629518329 | Jacqueline Mcdonough | Social Worker | 172 Liberty St, Newburgh, NY 12550-4912 | 2017-02-28 |
1750838355 | Richard Mercer Jr. | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2016-09-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
Find all providers in zip 12550 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
1295141265 | Nancy Barrett | Counselor | 17 Rock Cut Rd, Newburgh, NY 12550-2372 | 2014-07-10 |
1306184312 | Jeffrey Michael Spitz | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2013-01-25 |
1639433345 | Vivian Lynne Ireton | Counselor | 5048 S Plaza Dr, Newburgh, IN 47630-3069 | 2012-06-27 |
1073681540 | Serina Martinez | Counselor | 46 Roe St, Newburgh, NY 12550-3733 | 2006-12-01 |
1962003244 | Paul Thomas Veneski | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-11-04 |
1578172367 | Holland Ann Troeger | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2020-07-28 |
1013525773 | Jillian Muir | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-07-20 |
1295350528 | Lisa Marie Gallo | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-06-12 |
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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.