AWARENESS PSYCHOLOGICAL HEALTH AND GROWTH SERVICES (NPI# 1851517270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851517270 |
| Entity Type | Organization |
| Organization Name | AWARENESS PSYCHOLOGICAL HEALTH AND GROWTH SERVICES |
| Practice Address |
1394 Stony Brook Rd Stony Brook NY 11790-2205 |
| Mailing Address |
125 Pleasant St Apt 609 Brookline MA 02446-7183 |
| Practice Telephone | 6174298049 |
| Mailing Telephone | 6172771961 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RIVCKA EDELSTEIN (DIRECTOR) |
| Authorized Official Telephone | 6174298049 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 8090-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | VALUE OPTIONS | 058472 | 01 |
| NY | MAGELLAN BEHAVIORAL HEALT | 81182000 | 01 |
| NY | EMPIRE BLUE CROSS | V5332 | 01 |
| Street Address |
1394 STONY BROOK RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982820403 | Rivcka Edelstein | Psychologist | 1394 Stony Brook Rd, Stony Brook, NY 11790-2205 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| 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 |
|---|---|---|---|---|
| 1245722578 | Angela C. Turner Dougherty | Psychologist | Stony Brook University Putnam Hall South Campus, Stony Brook, NY 11794-0001 | 2018-06-01 |
| 1568723948 | Carlo Guy Arinoldo | Psychologist | 2 Sunbury Ln, Stony Brook, NY 11790-3216 | 2012-06-02 |
| 1952675910 | Mojgan Pourmand | Psychologist | 16a Old Wood Rd, Stony Brook, NY 11790-1027 | 2012-03-07 |
| 1437390309 | Keith Daniel O'leary | Psychologist | 236 Christian Ave, Stony Brook, NY 11790-1234 | 2009-03-23 |
| 1205009511 | Michael L Nissnbaum, Ph.d., Psychologist, P.C. | Psychologist | 4 Coed Ln, Stony Brook, NY 11790-2704 | 2008-04-08 |
| 1568672236 | Naitian Wang | Psychologist | University Counseling Ctr, Stadium Road, Stony Brook, NY 11794-3100 | 2007-05-23 |
| 1982820403 | Rivcka Edelstein | Psychologist | 1394 Stony Brook Rd, Stony Brook, NY 11790-2205 | 2007-04-17 |
| 1447374525 | Dan Berger | Psychologist | 38 Woodbine Ave, Stony Brook, NY 11790-1544 | 2007-03-16 |
| 1104979079 | Violet Ann Mandracchia | Psychologist | 15 Shore Oaks Drive, Stony Brook, NY 11790 | 2007-01-22 |
| 1285674911 | Arthur Stone | Psychologist | Suny Putnam Hall 103, Stony Brook, NY 11794-0001 | 2006-06-08 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on AWARENESS PSYCHOLOGICAL HEALTH AND GROWTH SERVICES.
| 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.