RAYMOND J COPPOLA (NPI# 1598905770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598905770 |
| Entity Type | Individual |
| Full Name | RAYMOND J COPPOLA |
| Credential | PH.D |
| Practice Address |
1 Marcus Blvd Ste 106 Albany NY 12205-5953 |
| Mailing Address |
601 4th Ave Troy NY 12182-2513 |
| Practice Telephone | 7743180850 |
| Mailing Telephone | 7743180850 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2019-02-27 |
| NPI Deactivation Date | 06/04/2018 |
| NPI Reactivation Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 022676 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | M18684 | 01 |
| MA | BCBS | 2220002001 | 01 |
| MA | 1306421 | 05 | |
| MA | 1308785 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 585 Lincoln St, Worcester, MA 016051906 | 5088310045 | 5087535051 |
| 415 Main St, Ridgefield, CT 068774500 | 2034387565 |
| Street Address |
1 MARCUS BLVD STE 106 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| 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 |
|---|---|---|---|---|
| 1558910208 | Leslie Van Buren Waite Jr. | Psychologist | 113 Holland Ave Rm C1017, Albany, NY 12208-3410 | 2019-09-05 |
| 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 |
| 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.