NEUROPSYCHOLOGIC REHABILITATION SERVICES PC (NPI# 1740206010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740206010 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGIC REHABILITATION SERVICES PC |
| Practice Address |
300 Washington Ave. Ext. Albany NY 12203 |
| Mailing Address |
300 Washington Ave. Ext. Albany NY 12037-7303 |
| Practice Telephone | 5183927314 |
| Practice Fax Number | 5188622175 |
| Mailing Telephone | 5183927314 |
| Mailing Fax Number | 5188622175 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | MRS. KARI POWELL (OFFICE MANAGER) |
| Authorized Official Telephone | 5183927314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 0096811 | NY | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 011531 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WORKERS COMP | 5096818 | 01 |
| NY | 01905259 | 05 | |
| NY | 01416760 | 05 | |
| NY | 01416751 | 05 |
| Street Address |
300 WASHINGTON AVE. EXT. |
| City | ALBANY |
| State | NY |
| Zip Code | 12203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385432 | How 'fryed' Am I LLC | Clinical Neuropsychologist | 46 Colonial Ave, Suite A, Albany, NY 12203-2012 | 2016-02-01 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
| 1518184712 | Comprehensive Neuropsychological Services, Pllc | Clinical Neuropsychologist | 490 Western Ave, Albany, NY 12203-1513 | 2007-04-19 |
| 1710029434 | George Barrett Litchford | Clinical Neuropsychologist | 67 S Lake Ave, Albany, NY 12203-1103 | 2007-02-12 |
| 1790868859 | Jeanne Kostas | Clinical Neuropsychologist | 245 Lark St, Albany, NY 12210-1149 | 2006-10-23 |
| 1194766873 | Mccaffrey Psychological PC | Clinical Neuropsychologist | 1740 Western Avenue, Suite 100, Albany, NY 12203-4414 | 2006-06-10 |
| 1558320572 | South Georgia Neuropsychological Associates | Clinical Neuropsychologist | 1211 Palmyra Rd, Albany, GA 31701-1935 | 2006-03-20 |
| 1790039063 | Lindsey Erinn Felix | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2012-11-07 |
| 1750661211 | Robert Ryan Fallows | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2011-08-27 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on NEUROPSYCHOLOGIC REHABILITATION SERVICES PC.
| 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.