LEE F DECOSTER (NPI# 1467583658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467583658 |
Entity Type | Individual |
Full Name | LEE F DECOSTER |
Credential | PHD |
Practice Address |
150 Van Buren St Newark NY 14513-1238 |
Mailing Address |
88 State Route 318 Phelps NY 14532-9528 |
Practice Telephone | 3153317741 |
Practice Fax Number | 3153310566 |
Mailing Telephone | 3157811773 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 0052791 | NY | Behavioral Health & Social Service Providers |
Street Address |
150 VAN BUREN ST |
City | NEWARK |
State | NY |
Zip Code | 14513-1238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821032715 | Thomas B Verme | Family Medicine | 150 Van Buren St, Newark, NY 14513-1238 | 2006-06-15 |
1316552227 | Kerry Ann Powderly | Physical Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2020-09-09 |
1114536919 | Emily Etta Drew | Occupational Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2020-07-28 |
1629553201 | Morgan Dunn | Physical Therapy Assistant | 150 Van Buren St, Newark, NY 14513-1238 | 2018-09-28 |
1235658246 | Meghan Willis | Case Manager/Care Coordinator | 150 Van Buren St, Newark, NY 14513-1238 | 2017-09-12 |
1720509334 | Shelby Lynne Bronson | Occupational Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2017-07-05 |
1497108252 | Amanda Sandelli | Occupational Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2016-07-18 |
1336504539 | April Kimball | Occupational Therapy Assistant | 150 Van Buren St, Newark, NY 14513-1238 | 2015-12-15 |
1053786400 | Ilean Ester Woods | Occupational Therapy Assistant | 150 Van Buren St, Newark, NY 14513-1238 | 2015-12-10 |
1780059105 | Victor Santasero | Social Worker | 150 Van Buren St, Newark, NY 14513-1238 | 2015-12-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
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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] |
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1619486750 | Ruth Robinson-nelson | Psychologist | 300 Creek View Rd Ste 101, Newark, DE 19711-8547 | 2017-09-20 |
1558722926 | Psychological Consulting Services | Psychologist | 182 Van Buren St, Newark, NJ 07105-2638 | 2016-03-14 |
1821423492 | Kathleen J. Cherry | Psychologist | 218 Cullen Way, Newark, DE 19711-6112 | 2013-09-13 |
1609127638 | Robin O. Belcher-timme | Psychologist | F-52 Omega Drive, Newark, DE 19713 | 2012-10-01 |
1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
1508038035 | Jeffrie J Silverberg | Psychologist | 303 Shisler Ct, Newark, DE 19702-1341 | 2008-03-25 |
1851594394 | Susan Kathleen Lynch | Psychologist | 15 Chestnut Hill Road, 19, Newark, DE 19713 | 2007-06-11 |
1306069414 | Tell Psychological Services, LLC | Psychologist | 1794 Sutton Pl, Newark, OH 43055-9093 | 2007-04-10 |
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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.