DR. LEONARD TRAVAGLIONE (NPI# 1750481495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750481495 |
| Entity Type | Individual |
| Full Name | DR. LEONARD TRAVAGLIONE |
| Credential | PH.D. |
| Practice Address |
300 Washington Avenue Ext Albany NY 12203-7303 |
| Practice Telephone | 5183927314 |
| Practice Fax Number | 5188622175 |
| Mailing Telephone | 5183927314 |
| Mailing Fax Number | 5188622175 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 011531 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01416760 | 05 | |
| NY | VALUE OPTIONS | 134284 | 01 |
| NY | 01905259 | 05 | |
| NY | LICENSE | 011531 | 01 |
| Street Address |
300 WASHINGTON AVENUE EXT |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561161 | Living Resources Certified Home Health Agency, Inc. | Home Health | 300 Washington Avenue Ext, Albany, NY 12203-4403 | 2005-10-10 |
| 1821595984 | Aimee Lynn Gibson | Social Worker | 300 Washington Avenue Ext, Albany, NY 12203-7303 | 2018-04-06 |
| 1144779968 | Kyle Sunderland I | Counselor | 300 Washington Avenue Ext, Albany, NY 12203-7303 | 2016-09-22 |
| 1558751024 | Salvatrice Lopiccolo | Counselor | 300 Washington Avenue Ext, Albany, NY 12203-7303 | 2015-02-04 |
| 1588676217 | Allison Fuller | Social Worker | 300 Washington Avenue Ext, Albany, NY 12203-7303 | 2006-08-12 |
| 1215925243 | Living Resources Home Care Agency, Inc | In Home Supportive Care | 300 Washington Avenue Ext, Albany, NY 12203-7303 | 2005-10-13 |
| 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 |
| 1740206010 | Neuropsychologic Rehabilitation Services PC | Clinical Neuropsychologist | 300 Washington Ave. Ext., Albany, NY 12203 | 2006-07-13 |
| 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 |
| Find all providers in ALBANY | ||||
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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.