DR. DINA VIVIAN (NPI# 1548258817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548258817 |
| Entity Type | Individual |
| Full Name | DR. DINA VIVIAN |
| Credential | PH.D. |
| Practice Address |
1239 Route 25a Suite 6a Stony Brook NY 11790-1934 |
| Mailing Address |
Po Box 696 Saint James NY 11780-0696 |
| Practice Telephone | 6316893483 |
| Practice Fax Number | 6315845261 |
| Mailing Telephone | 6315845261 |
| Mailing Fax Number | 6315845261 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
009593 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
009593 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 0038569 | 01 |
| NY | OXFORD HEALTH INSURANCE | P590784 | 01 |
| NM | VALUE OPTIONS | 069201 | 01 |
| NY | MAGELLAN BEHAVIORAL HEALT | 085652000 | 01 |
| Street Address |
1239 ROUTE 25A SUITE 6A |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013181585 | Rocco Joseph Morelli | Dentist | 1239 Route 25a, Stony Brook, NY 11790-1934 | 2008-04-16 |
| 1003968140 | Claire Elizabeth Martell | Social Worker | 1239 Route 25a, N Country Road Suite 6a, Stony Brook, NY 11790-1934 | 2007-01-17 |
| 1922070564 | Pamela Jane Combs | Dentist | 1239 Route 25a, Stony Brook, NY 11790-1934 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760889661 | Brittain Mahaffey | Psychologist | Suny Putnam Hl, Stony Brook, NY 11794-8790 | 2014-11-21 |
| 1407294580 | Genna Faith Popovich Hymowitz | Psychologist | 469 Psychology Bldg B, Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2520 | 2013-06-11 |
| 1124338017 | Veronique Regina Deutsch-anzalone | Psychologist | 100 Nicolls Rd Dept Of, Stony Brook, NY 11794-0012 | 2010-10-14 |
| 1124217195 | John G. Cottone, Psychologist, Pllc | Psychologist | 1099 N Country Rd, Suite L, Stony Brook, NY 11790-1924 | 2007-10-16 |
| 1285829689 | Bethany Clarke Riddle | Psychologist | 100 Nicholls Rd., Stony Brook, NY 11790-3100 | 2007-09-09 |
| 1053513317 | Joanne Davila | Psychologist | 79 Christian Ave, Stony Brook, NY 11790-1201 | 2007-05-31 |
| 1396887733 | John Gregory Cottone | Psychologist | 1099 North Country Rd, Suite L, Stony Brook, NY 11790-1999 | 2007-02-13 |
| 1417097247 | Carol Harriet Sprafkin | Psychologist | 207 Hallock Road, Suite 204, Stony Brook, NY 11790 | 2007-02-08 |
| 1518013895 | Brett M. Liquori | Psychologist | 12 Westwood Ave, Stony Brook, NY 11790-2837 | 2007-01-26 |
| 1407914518 | Anne Virginia Peterson | Psychologist | Stadium Rd, 235 Counseling Ctr, Stony Brook, NY 11794-3100 | 2006-12-04 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on DR. DINA VIVIAN.
| 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.