SUSAN CHLEBOWSKI (NPI# 1508878521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508878521 |
Entity Type | Individual |
Full Name | SUSAN CHLEBOWSKI |
Credential | M.D. |
Practice Address |
138 North Court Street Wampsville NY 13163-0608 |
Mailing Address |
138 North Court Street, Po Box 608 Wampsville NY 13163-0608 |
Practice Telephone | 3153662327 |
Practice Fax Number | 3153662599 |
Mailing Telephone | 3153662327 |
Mailing Fax Number | 3153662599 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2016-03-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
195621-1 | NY | Allopathic & Osteopathic Physicians |
Street Address |
138 NORTH COURT STREET |
City | WAMPSVILLE |
State | NY |
Zip Code | 13163-0608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437196227 | Amintha M. Selvarajah | Physician Assistant | 138 North Court Street, Wampsville, NY 13163-0608 | 2006-06-01 |
1003365792 | Stephanie Ann Thompson | Social Worker | 138 North Court Street, Wampsville, NY 13163 | 2016-09-23 |
1922495282 | Kathryn Elizabeth Scheirer | Social Worker | 138 North Court Street, Wampsville, NY 13163-0608 | 2015-04-23 |
1043603822 | Alexa Brayman | Social Worker | 138 North Court Street, #7, Wampsville, NY 13163 | 2015-03-18 |
1750785622 | Kimberly Wallace | Licensed Practical Nurse | 138 North Court Street, Wampsville, NY 13163 | 2014-10-21 |
1588905327 | Kirin A Quonce | Social Worker | 138 North Court Street, Veterans Memorial Building, Wampsville, NY 13163 | 2013-03-04 |
1770848152 | Shelley Petersen | Specialist | 138 North Court Street, Wampsville, NY 13163-0605 | 2012-07-11 |
1700148079 | Lori Brockway | Case Manager/Care Coordinator | 138 North Court Street, Wampsville, NY 13163-0605 | 2012-06-13 |
1336428259 | Shannon K Birmingham | Psychologist | 138 North Court Street, Wampsville, NY 13163-0608 | 2011-08-09 |
1346542198 | Stephanie Ann Anderson | Social Worker | 138 North Court Street, Wampsville, NY 13163-0608 | 2010-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164824462 | Beth Perry | Social Worker | 138 N Court Street, Wampsville, NY 13163 | 2014-09-18 |
1659529949 | Timothy Gerard Brown | Social Worker | 138 N. Court St, Wampsville, NY 13163 | 2008-08-29 |
1477752376 | Muftah A. Kadura, Md | Internal Medicine | 235 Genesee St, Wampsville, NY 13163 | 2007-07-12 |
1881719888 | Kenneth Edward Hefty | Counselor | 138 North Court Rd, Wampsville, NY 13163 | 2007-03-20 |
1518990811 | Denise Michelle Calcagnino | Counselor | Veterans Memorial Building, North Court Street, Wampsville, NY 13163 | 2006-07-09 |
1871157065 | Mallory Kleps | Counselor | 138 N Court St, Wampsville, NY 13163 | 2019-04-24 |
1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
1568999175 | Madison County Health Deptartment | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2017-05-12 |
Find all providers in zip 13163 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851319461 | Lewis A Gilbert | Psychiatry & Neurology | 138 North Court Street, Wampsville, NY 13163 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
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1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
Find all providers with the same taxonomy |
City | WAMPSVILLE |
Zip Code | 13163 |
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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.