MS. JACKI B GUTMAN (NPI# 1770565996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770565996 |
| Entity Type | Individual |
| Full Name | MS. JACKI B GUTMAN |
| Credential | LCSW |
| Practice Address |
88 Peachtree Dr E Norwich NY 11732-1118 |
| Practice Telephone | 5169221269 |
| Mailing Telephone | 5169221269 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 317931R | NY | Behavioral Health & Social Service Providers |
| Street Address |
88 PEACHTREE DR |
| City | E NORWICH |
| State | NY |
| Zip Code | 11732-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340707 | Jennifer Reilly | Licensed Practical Nurse | 62 Sugar Toms Lane, East Norwich, NY 11732 | 2019-11-15 |
| 1205134632 | Jodi Michele Kennedy | Social Worker | 37-22 82nd St., Corona Elmhurst Guidance Center, Jackson Heights, NY 11732 | 2011-03-09 |
| 1740599505 | Adel George Ayyad | Specialist | 8763 83rd Street, Jackson Heights, NY 11732 | 2010-09-28 |
| 1508069733 | Scott Louis Cavagnuolo | Chiropractor | 914 Oyster Bay Rd, East Norwich, NY 11732 | 2007-06-06 |
| 1013120526 | Stacy Bloom | Social Worker | 600-11-4b Pine Hollow Road, East Norwich, NY 11732 | 2007-05-08 |
| 1730309410 | Neil Richard Engel | Dentist | One Hawthorne Road, East Norwich, NY 11732 | 2007-04-26 |
| 1487706990 | Christine C Hunter | Social Worker | 72 Roosevelt Drive, East Norwich, NY 11732 | 2007-01-17 |
| 1659389583 | Sally Antman Gleicher | Psychologist | 1035 Route 106, East Norwich, NY 11732 | 2006-08-04 |
| 1962423723 | Michael Steven Klein | Podiatrist | 898 Oyster Bay Road, Ste D, East Norwich, NY 11732 | 2006-07-21 |
| 1487890026 | Maria Xydas | Psychologist | 1035 Route 106, East Norwich, NY 11732 | 2009-01-04 |
| Find all providers in zip 11732 | ||||
| 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 |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.