DR. NICOLE M DEROSA (NPI# 1427309228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427309228 |
| Entity Type | Individual |
| Full Name | DR. NICOLE M DEROSA |
| Credential | PSY.D., BCBA-D |
| Practice Address |
600 E Genesee St Suite 130 Syracuse NY 13202-3130 |
| Practice Telephone | 3155657556 |
| Practice Fax Number | 3154643944 |
| Mailing Telephone | 3155657556 |
| Mailing Fax Number | 3154643944 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2014-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 020499 | NY | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1107150 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786252 | Nicole Derosa | Dietitian, Registered | 1210 E Plant St Ste 130, Winter Garden, FL 34787-2995 | 2019-02-13 |
| Street Address |
600 E GENESEE ST SUITE 130 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356331599 | Veena Kayastha | Psychiatry & Neurology | 600 E Genesee St, Suite 210, Syracuse, NY 13202-3130 | 2005-10-27 |
| 1568956894 | William Edward Sullivan | Psychologist | 600 E Genesee St, Syracuse, NY 13202-3130 | 2018-06-20 |
| 1073060257 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 600 E Genesee St, Suite 305, Syracuse, NY 13202-3130 | 2016-09-06 |
| 1518328376 | Heather J Kadey | Behavioral Analyst | 600 E Genesee St, Syracuse, NY 13202-3130 | 2016-03-08 |
| 1962765016 | Central New York Medical Practice, Pllc | Psychiatry & Neurology | 600 E Genesee St, Syracuse, NY 13202-3130 | 2012-06-22 |
| 1033419213 | Buffalo Centre for The Treatment of Eating Disorders | Counselor | 600 E Genesee St, Suite 217, Syracuse, NY 13202-2100 | 2010-10-22 |
| 1851606529 | Amy Casale | Nurse Practitioner | 600 E Genesee St, Syracuse, NY 13202-3130 | 2010-08-18 |
| 1841529195 | David R Donaghy | Social Worker | 600 E Genesee St, Suite 217, Syracuse, NY 13202-2100 | 2009-12-16 |
| 1861720484 | David T. Nash, M.d. P.C. | Internal Medicine | 600 E Genesee St, Presidential Plaza, Suite 204, Syracuse, NY 13202-3130 | 2009-11-19 |
| 1205163979 | Lita M Morris | Advanced Practice Midwife | 600 E Genesee St, Suite 104, Syracuse, NY 13202-3130 | 2009-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1720600554 | Jeanne Alyce Shapiro | Psychologist | 150 E Fayette St Apt 406, Syracuse, NY 13202-1649 | 2020-05-14 |
| 1306499728 | Eileen E Fitzpatrick | Psychologist | 4290 Fay Rd, Syracuse, NY 13219-3045 | 2019-07-24 |
| 1134608334 | Jill Erin Majeski | Psychologist | 1 Childrens Cir, Syracuse, NY 13210-1634 | 2018-08-08 |
| 1710369673 | Kristin O'kane | Psychologist | 100 Intrepid Ln Ste 2, Syracuse, NY 13205-2546 | 2015-06-26 |
| 1912327495 | Afton N. Kapuscinski | Psychologist | 804 University Ave Ste 201, Syracuse, NY 13244-2340 | 2014-04-23 |
| 1750666830 | Christine L Tyrrell-baker | Psychologist | 220 Herald Place, 4th Floor, Syracuse, NY 13202-5002 | 2011-10-20 |
| 1114186012 | Kelly Marleah Harrington | Psychologist | 300 Audubon Pkwy Apt 94, Syracuse, NY 13224-1245 | 2008-06-05 |
| 1720137169 | Alice S Honig | Psychologist | 317 Allen St, Syracuse, NY 13210-1344 | 2007-01-08 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
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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.