J ROBERT QUILTY PHD PSYCHOLOGIST PC


Address: 139 Main Street, Stony Brook, NY 11790-0304
Phone: 6317514873

J ROBERT QUILTY PHD PSYCHOLOGIST PC (NPI# 1841698131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841698131
Entity Type Organization
Organization Name J ROBERT QUILTY PHD PSYCHOLOGIST PC
Practice Address 139 Main Street
Stony Brook
NY 11790-0304
Mailing Address Po Box 304
Stony Brook
NY 11790-0304
Practice Telephone 6317514873
Practice Fax Number 6314738282
Mailing Telephone 6317514873
Mailing Fax Number 6314738282
Enumeration Date 2014-12-18
Last Update Date 2014-12-18
Authorized Official Name ROBERT QUILTY (PSYCHOLOGIST)
Authorized Official Telephone 6317514873
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
010801 NY Behavioral Health & Social Service Providers

Office Location

Street Address 139 MAIN STREET
City STONY BROOK
State NY
Zip Code 11790-0304

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760889661 Brittain Mahaffey Psychologist Suny Putnam Hl, Stony Brook, NY 11794-8790 2014-11-21
1407294580 Genna Faith Popovich Hymowitz Psychologist 469 Psychology Bldg B, Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2520 2013-06-11
1124338017 Veronique Regina Deutsch-anzalone Psychologist 100 Nicolls Rd Dept Of, Stony Brook, NY 11794-0012 2010-10-14
1124217195 John G. Cottone, Psychologist, Pllc Psychologist 1099 N Country Rd, Suite L, Stony Brook, NY 11790-1924 2007-10-16
1285829689 Bethany Clarke Riddle Psychologist 100 Nicholls Rd., Stony Brook, NY 11790-3100 2007-09-09
1053513317 Joanne Davila Psychologist 79 Christian Ave, Stony Brook, NY 11790-1201 2007-05-31
1396887733 John Gregory Cottone Psychologist 1099 North Country Rd, Suite L, Stony Brook, NY 11790-1999 2007-02-13
1417097247 Carol Harriet Sprafkin Psychologist 207 Hallock Road, Suite 204, Stony Brook, NY 11790 2007-02-08
1518013895 Brett M. Liquori Psychologist 12 Westwood Ave, Stony Brook, NY 11790-2837 2007-01-26
1407914518 Anne Virginia Peterson Psychologist Stadium Rd, 235 Counseling Ctr, Stony Brook, NY 11794-3100 2006-12-04
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Competitor

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City STONY BROOK
Zip Code 11790

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Dataset Information

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.

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