ELIZABET SANTANA MARMONHALM (NPI# 1487282901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487282901 |
| Entity Type | Individual |
| Full Name | ELIZABET SANTANA MARMONHALM |
| Credential | PSY.D. |
| Practice Address |
17 E 102nd St New York NY 10029-5204 |
| Mailing Address |
1 Mount Vernon Rd Montclair NJ 07043-2417 |
| Practice Telephone | 2122418947 |
| Mailing Telephone | 6319027372 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00624700 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70 Park St, Montclair, NJ 070425907 | 9737464555 |
| Street Address |
17 E 102ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127988 | Mary Beth Fishman | Internal Medicine | 17 E 102nd St, New York, NY 10029-5204 | 2005-07-14 |
| 1104438563 | Patrick Ryan Parsell | Nurse Practitioner | 17 E 102nd St, New York, NY 10029-5204 | 2020-08-18 |
| 1922626050 | Menatalla Mekhaimar | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-07-06 |
| 1548886039 | Aviv Alter | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-06-19 |
| 1093337370 | Brandon Needelman | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-05-10 |
| 1821618414 | Sarah Elizabeth Nussbaum | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-23 |
| 1285253518 | Alyson Leigh Harty | Nurse Practitioner | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-16 |
| 1760001101 | Divya Iyer | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-15 |
| 1801415617 | Edward William Cytryn | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-11 |
| 1194344366 | Aarti Pappu Rao | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| 1184139776 | Matthew Pagirsky | Clinical Neuropsychologist | 130 E 63rd St Apt 10a, New York, NY 10065-7338 | 2017-12-05 |
| 1538685441 | Kim Busichio | Clinical Neuropsychologist | 952 5th Ave Apt 4a, New York, NY 10075-1749 | 2017-08-22 |
| 1316467020 | Danny Tam | Clinical Neuropsychologist | Dva 423 E 23rd St, New York, NY 10010 | 2017-06-23 |
| 1376078030 | David Sukiennik | Clinical Neuropsychologist | 175 W 72nd St Apt 6g, New York, NY 10023-3209 | 2017-05-01 |
| 1982147310 | Milestones Psychology Group Pllc | Clinical Neuropsychologist | 41 Madison Ave Ste 2536, New York, NY 10010-2202 | 2016-12-03 |
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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.