DR. CECILIA O EUSTACE (NPI# 1487790259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487790259 |
Entity Type | Individual |
Full Name | DR. CECILIA O EUSTACE |
Credential | PSY D |
Practice Address |
7 Farese Way Amawalk NY 10501-1201 |
Mailing Address |
Po Box 611 Yorktown Hts NY 10598-0611 |
Practice Telephone | 9149623348 |
Practice Fax Number | 9149624332 |
Mailing Telephone | 9149623348 |
Mailing Fax Number | 9149624332 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0085561 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VALUE OPTIONS | 001875 | 01 | |
MHN | 110786 | 01 | |
UBH | 57545 | 01 | |
SELECTPRO | WS0001036 | 01 | |
ANTHEM | 60008556NY | 01 | |
MTCE | 703155 | 01 | |
NY | 00955091 | 05 | |
METRACOMP | 1034117 | 01 | |
BLUE CROSS SHIELD | V50091 | 01 | |
OXFORD | WS169 | 01 | |
CHAMPUS | Y047097 | 01 | |
CDPHP | 10040904 | 01 | |
AETNA | 4314843 | 01 | |
HEALTHNET | 5C0900 | 01 | |
CIGNA | 3344400 | 01 | |
APA | 3440 7573 | 01 | |
MAGELLAN | IP332461 | 01 |
Street Address |
7 FARESE WAY |
City | AMAWALK |
State | NY |
Zip Code | 10501-1201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356495824 | Thomas D Eustace | Psychologist | 7 Farese Way, Amawalk, NY 10501-1201 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093048134 | Donna M Muller, Dc, PC | Chiropractor | 48 Mahopac Ave, Amawalk, NY 10501-1011 | 2009-09-08 |
1659535763 | John Joseph Tolli | Dentist | 68 Mahopac Ave, Amawalk, NY 10501-1014 | 2008-07-17 |
1790089431 | Lori Vasquez | Licensed Practical Nurse | 5 Adele Ct, Amawalk, NY 10501-1016 | 2011-01-10 |
1699021808 | A. Marks Ot, Inc. | Early Intervention Provider Agency | 5 Adele Ct, Amawalk, NY 10501-1016 | 2012-07-25 |
1669509709 | Betty M Rowe | Nurse Practitioner | 34 Arden Dr, Amawalk, NY 10501-1019 | 2007-02-27 |
1699832154 | Bernadette Martello | Social Worker | 17 Watergate Dr, Amawalk, NY 10501-1102 | 2007-01-03 |
1700487378 | Listening Ear Counseling and Therapy | Clinic/Center | 36 Watergate Dr, Amawalk, NY 10501-1107 | 2020-11-02 |
1194870493 | Linda Grace John | Social Worker | 3 Chalmers Blvd, Amawalk, NY 10501-1216 | 2007-01-24 |
1134311707 | Jean Marie Lavin | Registered Nurse | 12 Chalmers Blvd, Amawalk, NY 10501-1217 | 2007-08-16 |
1790938512 | Joanmarie A Sackles | Psychologist | 31 Bedell Rd, Amawalk, NY 10501-1500 | 2008-10-23 |
Find all providers in zip 10501 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356495824 | Thomas D Eustace | Psychologist | 7 Farese Way, Amawalk, NY 10501-1201 | 2007-01-22 |
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1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
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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.