DR. DAVID MOSHE SULLUM


Address: 2 Miron Drive, Poughkeepsie, NY 12603
Phone: 8454621259

DR. DAVID MOSHE SULLUM (NPI# 1679669287) 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) 1679669287
Entity Type Individual
Full Name DR. DAVID MOSHE SULLUM
Credential PH.D.
Practice Address 2 Miron Drive
Poughkeepsie
NY 12603
Practice Telephone 8454621259
Mailing Telephone 8454621259
Enumeration Date 2006-10-04
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 010911-1 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01450086 05

Office Location

Street Address 2 MIRON DRIVE
City POUGHKEEPSIE
State NY
Zip Code 12603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831712082 Hudson Valley Radiologists, PC Radiology 23 Sommerset Rd, Poughkeepsie, NY 12603 2020-05-22
1013555812 Jaclyn Anne Johnson Licensed Practical Nurse 370 Cedar Valley Rd, Poughkeepsie, NY 12603 2019-12-12
1790345189 Nirja Kumar Counselor 514 Height Ave, Poughkeepsie, NY 12603 2019-06-18
1790349512 Mariama-seray Binta Barrie Nurse Practitioner 50 Eastdale Avenue, Poughkeepsie, NY 12603 2019-04-26
1871066670 Heather Greer Belding-wilson Dietitian, Registered 76 Firemen's Way, Poughkeepsie, NY 12603 2019-01-04
1861968927 Cynthia Lee Specht Registered Nurse 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 2018-10-16
1740772177 Courtney W Albert, Mental Health Counseling, Pllc Counselor 2 - 4 Austin Court, Poughkeepsie, NY 12603 2018-06-01
1649797820 Kaizen Physical Therapy P.l.l.c. Clinic/Center 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 2017-08-28
1740704998 Kimberly Cwik Licensed Practical Nurse 14 Westend Avenue, Poughkeepsie, NY 12603 2017-07-31
1114389426 Gina Huss Case Manager/Care Coordinator 6 Deer Run Rd, Poughkeepsie, NY 12603 2016-03-25
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770091365 Deborah Ruben Sullum Psychologist 2 Miron Dr, Poughkeepsie, NY 12603-5021 2018-01-17
1922412659 Robert W. Travis Psychologist 38 Firemens Way, Poughkeepsie, NY 12603-6519 2014-06-20
1326242256 Ronald Robbins Psychologist 151 Academy St., Poughkeepsie, NY 12601 2007-06-13
1902989114 Paul Oliver Psychologist 54 Ferris Lane, Poughkeepsie, NY 12601 2006-10-23
1891757134 Kenneth M Pollock Psychologist Vassar Brothers Hospital, 45 Reade Pl, Poughkeepsie, NY 12601 2006-04-03
1013978493 Sheila A Knights Psychologist 387 Hooker Ave # 5, Poughkeepsie, NY 12603-3631 2006-03-28
1649242371 David Miller Psychologist 27 Hagan Dr, Poughkeepsie, NY 12603-5095 2006-02-06
1164492690 John Patrick Nash Psychologist 2 Eden Ter, Poughkeepsie, NY 12601-4803 2006-01-26
1639650096 Jennifer Brody Psychologist 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 2018-08-23
1285011346 David Benjamin Wapner Psychologist 46 Lincoln Avenue, Poughkeepsie, NY 12601 2015-04-28
Find all providers in POUGHKEEPSIE

Competitor

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City POUGHKEEPSIE
Zip Code 12603

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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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