CHRISTINE J. MIHAILA (NPI# 1548469604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548469604 |
| Entity Type | Individual |
| Full Name | CHRISTINE J. MIHAILA |
| Other Name | CHRISTINE J. WEBER |
| Credential | PH.D. |
| Practice Address |
65 Broadway Ste 842 New York NY 10006-2503 |
| Mailing Address |
65 Broadway Ste 842 New York NY 10006-2503 |
| Practice Telephone | 3479948855 |
| Mailing Telephone | 3479948855 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 017224 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 017224 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03130605 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Northern Blvd, Suite 130, Great Neck, NY 110215317 | 3479948855 |
| Street Address |
65 BROADWAY STE 842 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-2503 |
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|---|---|---|---|---|
| 1437182375 | Jordan C. Stern | Otolaryngology | 65 Broadway, Suite 901, New York, NY 10006-2503 | 2006-07-07 |
| 1942849401 | Joseph Charles Cestaro | Physical Therapist | 65 Broadway, New York, NY 10006-2503 | 2020-01-02 |
| 1700443280 | Elizabeth Roper | Acupuncturist | 65 Broadway, New York, NY 10006-2503 | 2019-05-21 |
| 1578009270 | Ny Mobile Medical PC | Specialist | 65 Broadway, Ste 903, New York, NY 10006-2503 | 2017-01-18 |
| 1801270715 | Rosemary Ward | Nurse Practitioner | 65 Broadway, Suite 903, New York, NY 10006 | 2015-07-10 |
| 1588053557 | New York Speech & Voice Lab Pllc | Speech-Language Pathologist | 65 Broadway, Suite 822, New York, NY 10006-2503 | 2015-01-14 |
| 1154726479 | Wall Street Podiatry PC | Podiatrist | 65 Broadway, Unit 1103, New York, NY 10006-2503 | 2014-10-29 |
| 1487061065 | Erika Hellwig Mental Health Counselor Pllc | Counselor | 65 Broadway, 844, New York, NY 10006-2503 | 2014-07-16 |
| 1902220585 | Katie Lorenzo | Social Worker | 65 Broadway, 505, New York, NY 10006-2503 | 2014-02-18 |
| 1184068017 | Modern Dermatology Pllc | Specialist | 65 Broadway, New York, NY 10006-2503 | 2013-04-22 |
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| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
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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] |
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| 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.