DR. RUSSELL N SHEFRIN (NPI# 1659443109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659443109 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL N SHEFRIN |
| Credential | PHD |
| Practice Address |
3065 Southwestern Boulevard Suite 204 Orchard Park NY 14127 |
| Mailing Address |
315 Alberta Drive Suite 211 Amherst NY 14226 |
| Practice Telephone | 7166759232 |
| Practice Fax Number | 7166759217 |
| Mailing Telephone | 7168376705 |
| Mailing Fax Number | 7168376759 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 005774 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 000507516005 | 01 | |
| INDEPENDENT HEALTH | 61 01039 | 01 | |
| UNIVERA | 00020913401 | 01 |
| Street Address |
3065 SOUTHWESTERN BOULEVARD SUITE 204 |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847129 | Kirsten L. Jarecki | Social Worker | 3065 Southwestern Boulevard, Suite 204, Orchard Park, NY 14127 | 2006-11-13 |
| 1447322995 | Jacalyn P Kelly | Social Worker | 3065 Southwestern Boulevard, Suite 204, Orchard Park, NY 14127 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| 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 |
|---|---|---|---|---|
| 1053724260 | Erin Cornelius | Psychologist | 3065 Southwestern Blvd Ste 204, Orchard Park, NY 14127-1239 | 2014-06-05 |
| 1417224346 | Nichol A Eaton-wolkiewicz | Psychologist | 6556 East Quaker, Orchard Park, NY 14127 | 2011-11-21 |
| 1548567993 | Krista Ann Ford | Psychologist | 21 Princeton Pl, Suite 100 Fms Psychology, Pllc, Orchard Park, NY 14127-2317 | 2011-02-22 |
| 1841489697 | Kathryn J. Sanborn | Psychologist | 21 Princeton Pl., Suite 100, Orchard Park, NY 14127 | 2007-10-17 |
| 1821298878 | Lisa J. Johnston | Psychologist | 4211 N Buffalo Rd, Suite 18, Orchard Park, NY 14127-2401 | 2007-07-18 |
| 1770647018 | Nancy Zander | Psychologist | 4407 S Buffalo St, Aurora Counseling, Orchard Park, NY 14127-2611 | 2006-12-21 |
| 1720060528 | Robin K Harrison | Psychologist | 6195 W Quaker St, Ste 200, Orchard Park, NY 14127-2640 | 2005-11-17 |
| 1700285236 | Allison Suriani | Psychologist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2014-08-20 |
| 1053724906 | Lorraine Jeanette Perry | Psychologist | 21 Princeton Pl, Suite 100, Orchard Park, NY 14127-2396 | 2014-06-09 |
| 1205918257 | Karen Lynn Mcclintock | Psychologist | 3959 N Buffalo St, Orchard Park, NY 14127-1841 | 2006-10-19 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.