ALISON ANN TEBBETT-MOCK (NPI# 1578970448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578970448 |
| Entity Type | Individual |
| Full Name | ALISON ANN TEBBETT-MOCK |
| Credential | PHD |
| Practice Address |
7559 263rd St Behavioral Health Pavilion, 1 West Glen Oaks NY 11004-1150 |
| Practice Telephone | 7184705738 |
| Mailing Telephone | 7184705738 |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 020673 | NY | Behavioral Health & Social Service Providers |
| Street Address |
7559 263RD ST BEHAVIORAL HEALTH PAVILION, 1 WEST |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769978 | Lola Robins Occhiogrosso | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2006-05-22 |
| 1427663996 | Miriam Holtzman | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-09-11 |
| 1225641830 | Dor Brender | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-08-25 |
| 1073121596 | Ketrice-ann Delonnay | Nurse Practitioner | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-07-21 |
| 1427675149 | Destiny Latoya Bernard | Nurse Practitioner | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-06-29 |
| 1548883747 | Maria Daniela Ospina | Counselor | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-05-21 |
| 1770103384 | Julia Tartaglia | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-23 |
| 1720608714 | Joseph Flaxer | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-20 |
| 1205455904 | Elsa Thomas | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-04-13 |
| 1932728979 | Woo Ri Bae | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
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| 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 |
|---|---|---|---|---|
| 1598224529 | Christina Fales | Psychologist | 26459 Langston Ave # B, Glen Oaks, NY 11004-1042 | 2019-03-19 |
| 1528189297 | Tammy7 Kirschner | Psychologist | 75-95 263rd Street, Glen Oaks, NY 11004 | 2007-04-02 |
| 1013046648 | Katherine Burdick | Psychologist | The Zucker Hillside Hospital - Dept of Psychology, 75-59 263rd Street, Glen Oaks, NY 11004 | 2007-03-02 |
| 1427663996 | Miriam Holtzman | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-09-11 |
| 1225641830 | Dor Brender | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-08-25 |
| 1780225722 | Melda Uzun | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2019-10-01 |
| 1184271280 | Nathan Frishberg | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2019-08-22 |
| 1164082186 | Brit Lippman | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2019-06-20 |
| 1407379894 | Matthew Francis Steinhauer | Psychologist | 75-59 263rd Street, Acp, Glen Oaks, NY 11004 | 2017-07-18 |
| 1992137822 | Marta Hauser | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2013-08-02 |
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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.