DR. SUZANNE BLANDINE PHILLIPS (NPI# 1689870297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689870297 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE BLANDINE PHILLIPS |
| Credential | PSY.D. |
| Practice Address |
22 Norwood Rd Northport NY 11768-3506 |
| Practice Telephone | 6317576459 |
| Mailing Telephone | 6317576459 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 005431-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811436603 | Suzanne L Phillips | Massage Therapist | 101 Crosby St, Newark, NY 14513-1916 | 2017-02-14 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1245532084 | Suzanne Nicole Phillips | Nurse Practitioner | 125 South Park Dr Ste B, Brownwood, TX 76801-5952 | 2010-11-30 |
| 1053349589 | Suzanne L. Phillips | Podiatrist | 1073 Second Street Pike, Richboro, PA 18954-1803 | 2006-06-30 |
| 1457594368 | Suzanne Toussaint Phillips | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2009-04-08 |
| 1134376817 | Suzanne Dawn Phillips | Nurse Practitioner | 4 Walter E Foran Blvd, Suite 101, Flemington, NJ 08822-4664 | 2008-08-25 |
| 1699934059 | Suzanne M Phillips | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2008-06-02 |
| 1407068950 | Suzanne Elena Phillips | Family Medicine | 2083 E 64th St, Brooklyn, NY 11234-5911 | 2007-05-05 |
| 1992888929 | Suzanne S. Phillips | Social Worker | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2006-10-23 |
| Street Address |
22 NORWOOD RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| 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 |
|---|---|---|---|---|
| 1669798104 | Douglas Ray Hogan | Psychologist | 4 Woody Ln, Northport, NY 11768-3252 | 2010-04-08 |
| 1194052423 | Linda Frances Fazio | Psychologist | 16 Woody Ln, Northport, NY 11768-3252 | 2009-11-06 |
| 1003042052 | Virginia Lee Scott-adams | Psychologist | 5405 Northwood Lake Dr E, Northport, AL 35473-1567 | 2009-06-04 |
| 1396943908 | Germaine Cyla Allison | Psychologist | 256 Main St Ste 1108, Northport, NY 11768-1747 | 2007-07-05 |
| 1174744049 | Donna Kathy Nissman | Psychologist | 55 Sandy Hollow Rd, Northport, NY 11768 | 2007-05-01 |
| 1376668590 | John R Mccartney | Psychologist | 3100 26th Ave, Northport, AL 35476-5235 | 2007-03-20 |
| 1891710620 | Sylvia Beatriz Neira | Psychologist | 9 Brian Ct, Northport, NY 11768-1300 | 2006-07-13 |
| 1265975346 | Lauren Puma | Psychologist | 79 Middleville Rd, Northport, NY 11768-2200 | 2016-11-22 |
| 1881941375 | Heidi Lary Kar | Psychologist | 79 Middleville Road, Va Medical Center, Psychology Service, #116b, Northport, NY 11768 | 2012-08-14 |
| 1679829378 | Deirdra F Frum | Psychologist | 79 Middleville Rd, Northport Vamc Bld 200 Quad 1-a, Northport, NY 11768-2200 | 2012-07-31 |
| Find all providers in NORTHPORT | ||||
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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.