DR. LESLIE VAN BUREN WAITE JR. (NPI# 1558910208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558910208 |
Entity Type | Individual |
Full Name | DR. LESLIE VAN BUREN WAITE JR. |
Credential | PSY.D. |
Practice Address |
113 Holland Ave Rm C1017 Albany NY 12208-3410 |
Mailing Address |
113 Holland Ave Rm C1018 Albany NY 12208-3410 |
Practice Telephone | 5186265334 |
Practice Fax Number | 5186265381 |
Mailing Telephone | 5186265334 |
Mailing Fax Number | 5186265381 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-09-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSY.0005093 | CO | Behavioral Health & Social Service Providers |
Street Address |
113 HOLLAND AVE RM C1017 |
City | ALBANY |
State | NY |
Zip Code | 12208-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
Find all providers in zip 12208 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962971762 | Robert David Cardom | Psychologist | 33 Woodlake Rd Ste 104, Albany, NY 12203-4057 | 2018-11-21 |
1831665157 | Bhumi Mehta | Psychologist | 125 Silver Leaf Dr, Albany, GA 31721-7704 | 2018-10-15 |
1013404870 | Julia Margaretha Hormes | Psychologist | 260 Washington Avenue Ext Ste 101, Albany, NY 12203-6326 | 2018-04-17 |
1184160715 | Brett Hartman | Psychologist | 1762 Central Ave Ste 201, Albany, NY 12205-4777 | 2017-01-06 |
1689121774 | Daniel Ryan Hoffman | Psychologist | 53 Mercer St, Albany, NY 12203-3616 | 2016-09-06 |
1043658404 | Brooke Picotte | Psychologist | 20 Corporate Woods Blvd, Suite 600, Albany, NY 12211-2396 | 2013-06-07 |
1215273685 | Alan Galgana | Psychologist | 44 Holand Ave, Bureau of Behavioral and Clinical Solutions, Albany, NY 12229-0001 | 2012-12-12 |
1285953612 | Katja E Mohr | Psychologist | 845 Santa Fe Ave, Albany, CA 94706-1823 | 2010-05-25 |
1831322809 | Jed Sekoff | Psychologist | 909 Ordway St, Albany, CA 94706-2115 | 2009-08-25 |
1548492655 | Adam Gorman | Psychologist | 3 Atrium Dr Ste 202, Albany, NY 12205 | 2009-08-23 |
Find all providers in ALBANY |
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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.