LAURA SUSAN DIBBLE


Address: 555 Warren Rd, Tst Boces, Ithaca, NY 14850-1862
Phone: 3152539795

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 555 WARREN RD
TST BOCES
City ITHACA
State NY
Zip Code 14850-1862

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891912119 Joseph Mallory Strayhorn Jr. Psychiatry & Neurology 205 Willard Way, Ithaca, NY 14850-3833 2007-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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City ITHACA
Zip Code 14850

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Dataset Information

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.

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