AMANDA ROSE WALLACE (NPI# 1649665977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649665977 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE WALLACE |
| Credential | MD |
| Practice Address |
525 E 68th St New York NY 10065 |
| Mailing Address |
525 E 68th St. Box 140 New York NY 10065-4870 |
| Practice Telephone | 2127461641 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
297971 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
144544 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 E 68th St, New York, NY 10065 | 2127461641 | |
| 1001 Potrero Street, 6b, San Francisco, CA 941103518 | 4152064722 | |
| 245 11th St, San Francisco, CA 941033732 | 4153550311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518249838 | Amanda Daniel Wallace | Physician Assistant | 655 Jesse Jewell Pkwy Se Ste B, Gainesville, GA 30501-3854 | 2011-09-13 |
| 1366635245 | Amanda Wallace | Counselor | 1907 Kristy Ct, Longmont, CO 80504-7387 | 2007-08-23 |
| 1952808024 | Amanda Marie Wallace | Case Manager/Care Coordinator | 205 Main St E, Mohall, ND 58761-4014 | 2018-04-06 |
| 1306345848 | Amanda Cheyenne Wallace | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2018-02-11 |
| 1972015659 | Amanda Wallace | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-11-02 |
| 1154844041 | Amanda Gail Wallace | Nurse Practitioner | 142 Depot Dr, South Shore, KY 41175-9306 | 2017-07-21 |
| 1578097341 | Amanda Wallace | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-04-18 |
| 1972908010 | Amanda Jo Wallace | Psychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2014-10-31 |
| 1578964888 | Amanda Leigh Wallace | Speech-Language Pathologist | 928 W Market St, Tiffin, OH 44883-2529 | 2014-09-07 |
| 1053725952 | Amanda Wallace | Speech-Language Pathologist | 40w310 Lafox Rd, Suite A1/b1, St Charles, IL 60175-6588 | 2014-06-18 |
| Street Address |
525 E 68TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307266 | Kevin Holcomb | Obstetrics & Gynecology | 525 E 68th St, J-130, New York, NY 10065-4870 | 2005-06-22 |
| 1881295632 | Cathy Liu | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-11-06 |
| 1336740638 | Gina Papili | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-11-03 |
| 1740880186 | Seulgi Heo | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-10-26 |
| 1518564954 | Paramjit Kaur Sembhi | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-08 |
| 1679170260 | Matthew Seeba | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-06 |
| 1407463144 | Claire L Douglass | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-27 |
| 1669088274 | Alison Nicole Lyle-bonaparte | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-18 |
| 1831703743 | Melissa Ann Rice | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-08 |
| 1467066191 | Nicholas Christopher Craven | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850276 | Nyc Psychiatric Associates | Psychiatry & Neurology | 385 5th Ave Rm 1106, New York, NY 10016-3340 | 2020-10-30 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1255979902 | Yuli Fradkin Md LLC | Psychiatry & Neurology | 315 W 57th St Ste 401, New York, NY 10019-3147 | 2019-12-12 |
| 1477196822 | Martijn Figee | Psychiatry & Neurology | 1000 10th Ave # 10g-44, New York, NY 10019-1147 | 2019-10-17 |
| 1033750823 | Mccd Psychiatry Services Pllc | Psychiatry & Neurology | 109 W 27th St # 5s, New York, NY 10001-6208 | 2019-10-02 |
| 1366093783 | James Halper Md | Psychiatry & Neurology | 41 W 72nd Street, 1c, New York, NY 10023-3476 | 2019-09-26 |
| 1891349635 | Veerle Bergink | Psychiatry & Neurology | 1425 Madison Ave # L4-34, New York, NY 10029-6514 | 2019-07-30 |
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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.