DR. DEBRA E CLARK (NPI# 1437477080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437477080 |
| Entity Type | Individual |
| Full Name | DR. DEBRA E CLARK |
| Credential | PH.D. |
| Practice Address |
110 N Cayuga St Ithaca NY 14850-4326 |
| Practice Telephone | 6072731038 |
| Mailing Telephone | 6072731038 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 011479 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336525625 | Debra Clark | Nurse Practitioner | 1040 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2015-08-10 |
| 1255683330 | Debra Ashley Clark | Audiologist | 1720 Peachtree St Nw Ste 200, Atlanta, GA 30309-2440 | 2012-10-12 |
| 1871816041 | Debra Striler Clark | Psychologist | 71 Walnut, Suite 109, Rochester, MI 48307-2073 | 2010-03-02 |
| 1952539785 | Debra Diane Clark | Reflexologist | 104 53rd Ave E, Bradenton, FL 34203-4702 | 2009-07-01 |
| 1720178650 | Debra Sue Clark | Physical Therapist | 3500 S Boulevard, Suite A, Edmond, OK 73013-5490 | 2006-10-13 |
| 1609896943 | Debra Jean Clark | Counselor | 10 Market St, Suite 5, Oneonta, NY 13820-2655 | 2006-07-20 |
| 1962473397 | Debra Clark | Family Medicine | 1409 Rt 9, Keeseville, NY 12944-2845 | 2006-02-01 |
| 1154665669 | Debra Mae Clark | Physical Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2012-11-21 |
| 1407144215 | Debra Lou Clark | Counselor | 3 Bridge St, Carthage, NY 13619-1353 | 2011-07-13 |
| 1790003218 | Debra Lynn Ann Clark | Licensed Practical Nurse | 116 Second St, Greenland, MI 49929 | 2010-05-07 |
| Street Address |
110 N CAYUGA ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770806861 | Penelope A Krainin | Psychologist | 110 N Cayuga St, 4th Floor, Ithaca, NY 14850-4326 | 2010-03-04 |
| 1881016392 | Kira Lallas | Social Worker | 110 N Cayuga St, Ithaca, NY 14850-4326 | 2014-01-17 |
| 1871866392 | Diane J Reppert Chiropractor Pllc | Chiropractor | 110 N Cayuga St, Suite 4, Ithaca, NY 14850-4326 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| 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 |
|---|---|---|---|---|
| 1740830710 | Alesya Nazarova | Psychologist | 171 E State St Apt 227, Ithaca, NY 14850-5566 | 2019-09-12 |
| 1407172307 | Anthony Joseph Pane Jr. | Psychologist | 200 E. Buffalo Street, Suite 203, Ithaca, NY 14850 | 2010-04-16 |
| 1982745956 | George Schuler | Psychologist | 318 North Aurora Street, Ithaca, NY 14850 | 2007-02-10 |
| 1477614725 | Cristen E. Haltom | Psychologist | 401 East State Street, Suite 201, Ithaca, NY 14850-4400 | 2006-12-12 |
| 1629138441 | Ellen Cohen-rosenthal | Psychologist | 11 Spruce Ln, Ithaca, NY 14850-1766 | 2006-12-11 |
| 1346311180 | Edward Franzoni Sr. | Psychologist | 1729 Slaterville Rd, Ithaca, NY 14850-6375 | 2006-11-13 |
| 1154417103 | Mia Pancaldo | Psychologist | 122a W Buffalo Street, Ithaca, NY 14850-4132 | 2006-10-05 |
| 1831298991 | Stephen S Tien | Psychologist | 518 Wyckoff Rd, Ithaca, NY 14850-2344 | 2006-09-22 |
| 1528575206 | Karin Belser | Psychologist | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-01-04 |
| 1013424803 | Randy E Patterson | Psychologist | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-01-03 |
| Find all providers in ITHACA | ||||
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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.