PAMELA KISSOONDHAN (NPI# 1881053981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881053981 |
| Entity Type | Individual |
| Full Name | PAMELA KISSOONDHAN |
| Practice Address |
998 Crooked Hill Rd Brentwood NY 11717-1019 |
| Practice Telephone | 6317613500 |
| Mailing Telephone | 6317613500 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401541 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
998 CROOKED HILL RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153603 | Guerline Markowitz | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-27 |
| 1528688074 | Daniel Brian Bell | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-24 |
| 1083248280 | Schneidine Rely-supreme | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-02-26 |
| 1285264762 | Barbara M Bazemore | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-01-23 |
| 1730727165 | Gerard Fitzgerald Grant | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-12-17 |
| 1982240768 | Monica J Cuya | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1942846746 | Alyssa Hope Smith | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1720624505 | Lancia Dezalon | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1164068946 | Kevin Fischer | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1538700778 | Michael Vincent Massina | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
| 1821649534 | Lila Kate Homan | Nurse Practitioner | 231 Wilson Pike Cir Ste 202, Brentwood, TN 37027-5286 | 2019-09-24 |
| 1447710132 | Renewed Hope Behavioral Health, LLC | Nurse Practitioner | 1604 Westgate Cir Ste 230, Brentwood, TN 37027-8074 | 2019-03-20 |
| 1750520169 | Mary Emma Carter | Nurse Practitioner | 1624 Westgate Cir Ste 100, Brentwood, TN 37027 | 2009-02-09 |
| 1306027040 | Margo Fortney | Nurse Practitioner | 317 Seven Springs Way Ste 201, Brentwood, TN 37027-4511 | 2007-11-23 |
| 1700262854 | Jessica Castillo | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2015-07-30 |
| 1013357946 | Joann Marie Basile | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2013-06-25 |
| 1336446103 | Edward D. Massey | Nurse Practitioner | 278 Franklin Rd, Suite 240, Brentwood, TN 37027-3208 | 2011-02-14 |
| 1386729689 | Susan M Adams | Nurse Practitioner | 343 Franklin Rd, Suite 108, Brentwood, TN 37027-5213 | 2006-10-26 |
| 1720170426 | Ximena G Weedon | Nurse Practitioner | 1841 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-09-29 |
| Find all providers in BRENTWOOD | ||||
Please comment or provide details below to improve the information on PAMELA KISSOONDHAN.
| 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.