MR. RANDOLPH S IMHOFF (NPI# 1871530410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871530410 |
| Entity Type | Individual |
| Full Name | MR. RANDOLPH S IMHOFF |
| Credential | LMFT |
| Practice Address |
500 S Washington St Suite 1 Carthage NY 13619-1534 |
| Practice Telephone | 3154934900 |
| Practice Fax Number | 3154934909 |
| Mailing Telephone | 3154934900 |
| Mailing Fax Number | 3154934909 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 000295 | NY | Behavioral Health & Social Service Providers |
| Street Address |
500 S WASHINGTON ST SUITE 1 |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801219092 | Exceptional Kidz Rehabilitation | Marriage & Family Therapist | 3 Bridge St, Physical Therapy Suite, Carthage, NY 13619-1360 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1528666054 | Esther Mann | Marriage & Family Therapist | 1226 W Broadway # L-2, Hewlett, NY 11557-1923 | 2020-10-16 |
| 1205434883 | Rachel Davies | Marriage & Family Therapist | 8641 Cobalt Dr, Cicero, NY 13039-8943 | 2020-10-15 |
| 1669079935 | Tiffany Sheppard | Marriage & Family Therapist | 1057 Boynton Ave Apt 2a, Bronx, NY 10472-5761 | 2020-10-08 |
| 1528665205 | Aurela Gjura | Marriage & Family Therapist | 432 E 149th St Fl 3, Bronx, NY 10455-1343 | 2020-10-06 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1265039168 | Christina Berdebes | Marriage & Family Therapist | 11123 76th Rd Apt C5, Forest Hills, NY 11375-6434 | 2020-10-04 |
| 1144827122 | Rachel Kinsella | Marriage & Family Therapist | 141 W 26th St Apt 4b, New York, NY 10001-6800 | 2020-10-03 |
| 1720695554 | Katie Lynn Helpley Marriage & Family Therapist Pllc | Marriage & Family Therapist | 550 Stony Brook Ct Ste 3, Newburgh, NY 12550-6557 | 2020-09-25 |
| 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.