JOELLE TRAUB (NPI# 1679135883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679135883 |
| Entity Type | Individual |
| Full Name | JOELLE TRAUB |
| Credential | M.S. CAS |
| Practice Address |
171 Intrepid Ln Syracuse NY 13205-2548 |
| Mailing Address |
3774 State Route 31 Apt 611 Liverpool NY 13090-1362 |
| Practice Telephone | 3154374689 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 103TS0200X |
Psychologist Specialization: School |
1324238191 | NY | Behavioral Health & Social Service Providers |
| Street Address |
171 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902907488 | Todd M Stady | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-09-26 |
| 1154937308 | Andrea Auer | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-09-22 |
| 1699386649 | Chelsea Hufnagle | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-13 |
| 1659981934 | Margaret Ann Conklin | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-03 |
| 1477171726 | Julia Elizabeth Johnson | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-07-13 |
| 1053934786 | Kristin Hinkey | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-05-28 |
| 1588297436 | Abigail Jane Izzo | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-02-19 |
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1679115588 | Shea Lynn Beachner | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| 1396387296 | Katelyn Michelle Warren | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| 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 |
| 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 |
| 1619305463 | Charissa Taylor | Psychologist | 215 Bassett St, Syracuse, NY 13210-2113 | 2013-10-14 |
| 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 |
| Find all providers in SYRACUSE | ||||
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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.