MRS. CHARISSA TAYLOR (NPI# 1619305463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619305463 |
Entity Type | Individual |
Full Name | MRS. CHARISSA TAYLOR |
Credential | MA CAS |
Practice Address |
215 Bassett St Syracuse NY 13210-2113 |
Practice Telephone | 3154724404 |
Enumeration Date | 2013-10-14 |
Last Update Date | 2015-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
623623121 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821566860 | Charissa Taylor | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-07 |
Street Address |
215 BASSETT ST |
City | SYRACUSE |
State | NY |
Zip Code | 13210-2113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669512398 | State of New York Comptrollers Office | Clinic/Center | 215 Bassett St, Syracuse, NY 13210-2113 | 2007-02-08 |
1396257523 | Charlene Mcnamara Barnes | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2017-10-27 |
1255774493 | Sharon Zuis | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2013-04-08 |
1003169988 | Mlw Developmental Evaluation Center | Early Intervention Provider Agency | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-10-17 |
1538421912 | Theresa Priest Kiritsis | Specialist | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-06-12 |
1649530775 | Suny Upstate | General Acute Care Hospital | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-05-23 |
1558633883 | Carroll Grant | Counselor | 215 Bassett St, Syracuse, NY 13210-2113 | 2012-02-02 |
1770877458 | Jill Williams | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2011-05-31 |
1144520479 | Emily A Griswold | Social Worker | 215 Bassett St, Syracuse, NY 13210-2113 | 2010-11-03 |
1851538896 | Jennifer L Altimonda | Counselor | 215 Bassett St, Syracuse, NY 13210-2113 | 2009-01-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831534999 | Elizabeth Copani | Psychologist | 212 Burnet Park Dr, Syracuse, NY 13204-2512 | 2013-05-02 |
1154954436 | Wendy Pautz | Psychologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2020-02-14 |
1679135883 | Joelle Traub | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-07-08 |
1396257523 | Charlene Mcnamara Barnes | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2017-10-27 |
1336596238 | Robert Keegan | Psychologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2016-05-20 |
1417318148 | Lara Lang | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2016-03-08 |
1841604741 | Karen Falso Leonard | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2014-06-18 |
1932513280 | Karrie Lamacchia | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2014-06-15 |
1255774493 | Sharon Zuis | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2013-04-08 |
1770877458 | Jill Williams | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2011-05-31 |
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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.