LAURA SUSAN DIBBLE (NPI# 1629085048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629085048 |
Entity Type | Individual |
Full Name | LAURA SUSAN DIBBLE |
Credential | M.D. |
Practice Address |
555 Warren Rd Tst Boces Ithaca NY 14850-1862 |
Mailing Address |
Po Box 295 Manlius NY 13104-0295 |
Practice Telephone | 3152539795 |
Practice Fax Number | 3152533255 |
Mailing Telephone | 3154203030 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2014-01-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
204383 | NY | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
204383 | NY | Allopathic & Osteopathic Physicians |
Street Address |
555 WARREN RD TST BOCES |
City | ITHACA |
State | NY |
Zip Code | 14850-1862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467086900 | Elizabeth Scofield | Registered Nurse | 555 Warren Rd, Ithaca, NY 14850-1862 | 2020-02-24 |
1750923918 | Emily Olander | Social Worker | 555 Warren Rd, Ithaca, NY 14850-1862 | 2019-10-09 |
1932681020 | Julie Elizabeth Carpenter | Registered Nurse | 555 Warren Rd, Ithaca, NY 14850-1862 | 2018-09-05 |
1881104081 | Paige Marie Cook | Licensed Practical Nurse | 555 Warren Rd, Ithaca, NY 14850-1862 | 2017-10-03 |
1477070514 | Casey E Benson | Social Worker | 555 Warren Rd, Ithaca, NY 14850-1862 | 2017-08-29 |
1396260469 | Danielle E Keenan | Social Worker | 555 Warren Rd, Ithaca, NY 14850-1862 | 2017-08-09 |
1871943571 | Karen Whetzel | Registered Nurse | 555 Warren Rd, Ithaca, NY 14850-1862 | 2016-06-14 |
1689044042 | Jennifer Lee Lapenna | Social Worker | 555 Warren Rd, Ithaca, NY 14850-1862 | 2015-09-29 |
1457729147 | Rachael Sutherland | Social Worker | 555 Warren Rd, Ithaca, NY 14850-1862 | 2015-09-11 |
1457728917 | Natalie J Muka | Speech-Language Pathologist | 555 Warren Rd, Ithaca, NY 14850-1862 | 2015-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
Find all providers in zip 14850 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891912119 | Joseph Mallory Strayhorn Jr. | Psychiatry & Neurology | 205 Willard Way, Ithaca, NY 14850-3833 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
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1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
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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.