HENRY S ROANE (NPI# 1467579730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467579730 |
| Entity Type | Individual |
| Full Name | HENRY S ROANE |
| Practice Address |
600 East Genesee St Suite 130 Syracuse NY 13202 |
| Mailing Address |
251 Salina Meadows Pkwy Suite 100 Syracuse NY 13212-4516 |
| Practice Telephone | 3154643103 |
| Practice Fax Number | 3154643944 |
| Mailing Telephone | 3154642000 |
| Mailing Fax Number | 3154642010 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
018405 | NY | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
667 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025287200 | 05 |
| Street Address |
600 EAST GENESEE ST SUITE 130 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912919184 | Endodontic Associates PC | Dentist | 600 East Genesee St, Suite 113, Syracuse, NY 13202 | 2006-08-13 |
| 1598992901 | Leah Kathryn Phaneuf | Psychologist | 600 East Genesee St, Suite 130, Syracuse, NY 13202 | 2009-06-12 |
| 1124210919 | Kevin Mark Fahey | Dentist | 600 East Genesee St, Syracuse, NY 13202 | 2007-08-15 |
| 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 | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1336552959 | Leslie Gellis | Psychologist | 804 University Ave, 201, Syracuse, NY 13210-1721 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1770180325 | Jonathan Rosen | Psychologist | 1760 2nd Ave Apt 18a, New York, NY 10128-5392 | 2020-10-07 |
| 1245837855 | Aunree J. Houston | Psychologist | 400 W 37th St Apt 10y, New York, NY 10018-5631 | 2020-10-06 |
| 1255944377 | Mindwell Center, LLP | Psychologist | 950 Danby Rd Ste 202f, Ithaca, NY 14850-5714 | 2020-08-28 |
| 1417575754 | Donato Vaccaro | Psychologist | 40 Deerfield Ave, Eastchester, NY 10709-3805 | 2020-07-13 |
| 1902432511 | Nancy Langdon | Psychologist | 410 Fort Salonga Rd, Northport, NY 11768-3046 | 2020-03-14 |
| 1386281376 | Grand Central Psychology Pllc | Psychologist | 50 E 42nd St Rm 1807, New York, NY 10017-5402 | 2019-12-09 |
| 1730722232 | Shimon N Littman | Psychologist | 495 W 187th St Apt 5e, New York, NY 10033-1521 | 2019-10-28 |
| 1821645367 | Rd Community Services LLC | Psychologist | 1049 38th St Ste B, Brooklyn, NY 11219-1012 | 2019-08-20 |
| 1881250041 | New Perspective Psychological Services | Psychologist | 1170a Ocean Ave, Brooklyn, NY 11230-1904 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HENRY S ROANE.
| 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.