SUSAN FARELLA-BUSCH (NPI# 1558377697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558377697 |
| Entity Type | Individual |
| Full Name | SUSAN FARELLA-BUSCH |
| Credential | PH.D. |
| Practice Address |
1800 Rockaway Ave Suite 206 Hewlett NY 11557-1665 |
| Practice Telephone | 5167925683 |
| Practice Fax Number | 5165944053 |
| Mailing Telephone | 5167925683 |
| Mailing Fax Number | 5165944053 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 015749 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1800 ROCKAWAY AVE SUITE 206 |
| City | HEWLETT |
| State | NY |
| Zip Code | 11557-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895121 | Alex G Hirsch | Obstetrics & Gynecology | 1800 Rockaway Ave, Suite 211, Hewlett, NY 11557-1665 | 2005-10-20 |
| 1619496817 | Samantha Lawrence | Psychologist | 1800 Rockaway Ave, Hewlett, NY 11557-1665 | 2017-09-19 |
| 1093104747 | Nina Glaittli | Physician Assistant | 1800 Rockaway Ave, Hewlett, NY 11557-1665 | 2015-01-19 |
| 1699170092 | Tali Moskowitz | Social Worker | 1800 Rockaway Ave, Hewlett, NY 11557-1665 | 2014-10-28 |
| 1649672650 | Vitaly Kramer | Physician Assistant | 1800 Rockaway Ave, Suite 100, Hewlett, NY 11557-1665 | 2014-09-22 |
| 1194127647 | Ronald Margolies | Dentist | 1800 Rockaway Ave, Suite 204, Hewlett, NY 11557-1665 | 2014-09-16 |
| 1558705665 | Jay Isaac Gruenfeld | Dentist | 1800 Rockaway Ave, Suite 204, Hewlett, NY 11557-1665 | 2013-04-18 |
| 1013258375 | Ronald M. Margolies, D.m.d., P.C. | Durable Medical Equipment & Medical Supplies | 1800 Rockaway Ave, Suite 204, Hewlett, NY 11557-1665 | 2013-03-12 |
| 1871837906 | Jennifer Wong | Physician Assistant | 1800 Rockaway Ave, Suite 100, Hewlett, NY 11557-1665 | 2012-11-15 |
| 1215286000 | Aaron Grotas Md Pllc | Urology | 1800 Rockaway Ave, Suite 212, Hewlett, NY 11557 | 2012-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073116 | Christina M Ganci | Social Worker | 1355 Noel Avenue, Hewlett, NY 11557 | 2020-01-30 |
| 1750945614 | Betsy Lantner Md Obgyn Pllc | Obstetrics & Gynecology | 1571 Broadway, Hewlett, NY 11557 | 2019-04-26 |
| 1699216671 | Heather Murphy | Specialist | 383 Hamilton Ave, Hewlett, NY 11557 | 2017-03-10 |
| 1891070561 | Howard Shulman | Obstetrics & Gynecology | 178 Torquay Pl, Hewlett, NY 11557 | 2011-10-13 |
| 1467731927 | Kidz Discovery Inc. | Early Intervention Provider Agency | 1234 West Broadway Ste. 201, Hewlett, NY 11557 | 2011-08-15 |
| 1376844324 | Martin J. Evans | Pediatrics | 198 Woodside Dr., Hewlett, NY 11557 | 2010-11-08 |
| 1154566511 | Beth Marlene Swedarsky | Speech-Language Pathologist | 157 Harris Avenue, Hewlett, NY 11557 | 2008-12-12 |
| 1801074992 | Jay Horowitz | Social Worker | 1104 Westwood Rd, Hewletter, NY 11557 | 2008-01-31 |
| 1134126188 | Steven Bruce Epstein | Podiatrist | 1175 W Broadway, Suite 10, Hewlett, NY 11557 | 2005-07-06 |
| 1063414282 | Richard Louis Markowitz | Internal Medicine | 1553 Broadway, Hewlett, NY 11557 | 2005-06-01 |
| Find all providers in zip 11557 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
| 1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
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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.