FRANK FARRELL (NPI# 1790325496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325496 |
| Entity Type | Individual |
| Full Name | FRANK FARRELL |
| Credential | PH.D |
| Practice Address |
646 Main St Port Jefferson NY 11777-2235 |
| Mailing Address |
105 Leeward Ln Port Jefferson NY 11777-2307 |
| Practice Telephone | 6319017777 |
| Practice Fax Number | 6313953207 |
| Mailing Telephone | 6319017777 |
| Mailing Fax Number | 6313953207 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
017980-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH ID# | 14506259 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
| 1811927353 | Frank W Farrell Jr. | Radiology | 3155 Maplewood Avenue, Winston Salem, NC 27103 | 2006-07-03 |
| 1891770905 | Frank J Farrell | Specialist | 2186 Geary Blvd, Suite 320, San Francisco, CA 94115-3455 | 2005-12-12 |
| Street Address |
646 MAIN ST |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775934 | Farrell Psychological Services, Pllc | Psychologist | 646 Main St, Port Jefferson, NY 11777-2235 | 2015-11-13 |
| 1205248101 | Farrell Health Group LLC | Psychologist | 646 Main St, Port Jefferson, NY 11777-2235 | 2014-05-27 |
| 1043562986 | Hope Tms Medical Practice PC | Clinic/Center | 646 Main St, Suite 201, Port Jefferson, NY 11777-2235 | 2012-10-02 |
| 1659669208 | Laura Chan, Nurse Practitioner-psychiatry, P.C. | Nurse Practitioner | 646 Main St, Suite 201, Port Jefferson, NY 11777-2235 | 2011-07-18 |
| 1669692448 | Extendacare Inc. | Home Infusion | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-04-26 |
| 1619000296 | Karen Sivin | Social Worker | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-03-13 |
| 1104964410 | Robert David Polin | Social Worker | 646 Main St, Lower Level, Port Jefferson, NY 11777 | 2007-02-01 |
| 1962557629 | Jagdish Gidwani | Psychiatry & Neurology | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-01-24 |
| 1700930286 | Linda Joyce Bucaria | Psychologist | 646 Main St, Port Jefferson, NY 11777 | 2007-01-22 |
| 1528119294 | Debra Joan Kingsley | Counselor | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316152671 | Gabrielle Mcandrews | Psychologist | 20 Crooked Oak Rd, Port Jefferson, NY 11777 | 2007-05-11 |
| 1962489153 | William M Bennison | Psychologist | 1 High Path, Hope House, Port Jefferson, NY 11777-1276 | 2005-12-28 |
| 1992234587 | Amy M Negri | Psychologist | 1227 Main St Ste 302, Port Jefferson, NY 11777-2227 | 2017-06-07 |
| 1083828446 | Celeste Regina Gertsen | Psychologist | 1227 Main St, Suite 202, Port Jefferson, NY 11777 | 2007-05-09 |
| 1770607517 | Barry S Greenberg | Psychologist | 646 Main Street, Port Jefferson, NY 11777 | 2007-03-19 |
| 1700930286 | Linda Joyce Bucaria | Psychologist | 646 Main St, Port Jefferson, NY 11777 | 2007-01-22 |
| 1184788077 | Michael J Cardillo | Psychologist | 41 N Country Rd, Office #1, Port Jefferson, NY 11777-2160 | 2006-12-22 |
| 1649364787 | Faith Lennon | Psychologist | 640 Belle Terre Rd, Bldg. E, Suite 3, Port Jefferson, NY 11777-1936 | 2006-10-03 |
| 1457394983 | Denise Dixon | Psychologist | 646 Main St, 2nd Floor, Suite 203, Port Jefferson, NY 11777-2235 | 2006-06-13 |
| 1720089972 | Debra K Smith | Psychologist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2005-08-09 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on FRANK FARRELL.
| 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.