DR. KEITH WOYTHALER (NPI# 1548415953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548415953 |
| Entity Type | Individual |
| Full Name | DR. KEITH WOYTHALER |
| Credential | PH.D. |
| Practice Address |
100 N Village Ave Ste 11 Rockville Centre NY 11570 |
| Mailing Address |
100 N Village Ave Ste 11 Rockville Centre NY 11570-3712 |
| Practice Telephone | 5166909555 |
| Mailing Telephone | 5166909555 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
017909 | NY | Behavioral Health & Social Service Providers |
| Street Address |
100 N VILLAGE AVE STE 11 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598921348 | Meredith C Owens | Psychologist | 100 N Village Ave Ste 11, Rockville Centre, NY 11570-3712 | 2008-07-31 |
| 1952815565 | Keith Woythaler Psychologist, P.C. | Psychologist | 100 N Village Ave Ste 11, Rockville Centre, NY 11570-3712 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467892562 | Elizabeth O'keefe-morse | Psychologist | 250 Merrick Rd, Suite 636, Rockville Centre, NY 11571-2053 | 2013-07-03 |
| 1003020926 | George Thomas Whitson | Psychologist | 76 S Lewis Pl, Rockville Centre, NY 11570-5531 | 2007-05-09 |
| 1407978182 | Mark Boyle | Psychologist | 189 Sunrise Hwy Ste 207, Rockville Centre, NY 11570-4723 | 2007-04-04 |
| 1780708750 | Freya Tumarkin | Psychologist | 61 Voorhis Ave, Rockville Centre, NY 11570-2743 | 2007-03-16 |
| 1649313339 | Martin Joseph Brennan | Psychologist | 278 Hamilton Rd, Rockville Centre, NY 11570-2227 | 2007-02-14 |
| 1558411959 | Lester J. Schad | Psychologist | 459 Raymond St, Rockville Centre, NY 11570-2738 | 2007-01-10 |
| 1093864910 | Margaret Chernack Beaudoin | Psychologist | 88 Allen Rd, Rockville Centre, NY 11570-1215 | 2007-01-09 |
| 1720136583 | Mindy Phillips | Psychologist | 26 Arizona Ave, Rockville Centre, NY 11570-1403 | 2007-01-08 |
| 1407928047 | Lynn Brian Means | Psychologist | 66 Princeton Street, Rockville Centre, NY 11570 | 2006-11-15 |
| 1578563961 | Thomas Patrick Demaria | Psychologist | 75 Judson Pl, Rockville Centre, NY 11570-2813 | 2005-07-28 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on DR. KEITH WOYTHALER.
| 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.