DR. WILSON ELLIS MEADERS (NPI# 1902969504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902969504 |
| Entity Type | Individual |
| Full Name | DR. WILSON ELLIS MEADERS |
| Credential | PHD |
| Practice Address |
93 Wall St Pine Street Counseling Center Kingston NY 12401 |
| Practice Telephone | 8453394224 |
| Practice Fax Number | 8453394224 |
| Mailing Telephone | 8453394224 |
| Mailing Fax Number | 8453394224 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002776 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01727559 | 05 | |
| CAQH | 10503967 | 01 |
| Street Address |
93 WALL ST PINE STREET COUNSELING CENTER |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104390525 | Boodah, Inc | Psychologist | 161 Summer St Ste 5, Kingston, MA 02364-1275 | 2019-01-18 |
| 1275978934 | Mid Hudson Psychological Services Pllc | Psychologist | 54 Lucas Ave, Kingston, NY 12401-3710 | 2013-05-07 |
| 1699939397 | Andrea K Henry | Psychologist | 45 Birch St, 20f, Kingston, NY 12401-1000 | 2008-07-11 |
| 1730376849 | Jennifer Lee | Psychologist | 14 Pearl St, Kingston, NY 12401-0522 | 2007-10-02 |
| 1811191414 | Theresa Keane | Psychologist | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2007-06-14 |
| 1639392327 | Robert Nicholson Eckardt Jr. | Psychologist | 4446 Rt 27, Kingston, NJ 08528 | 2007-04-11 |
| 1700978277 | Dale Edward Vangaasbeek | Psychologist | 227 Linderman Ave, Kingston, NY 12401-5343 | 2006-09-29 |
| 1083724686 | Kate Maria Dvorkin | Psychologist | 291 Wall St Ste 2a, Kingston, NY 12401-3849 | 2006-08-30 |
| 1134164072 | Safieh Ghods-kash | Psychologist | 139 Cornell St, Kingston, NY 12401-3633 | 2006-06-17 |
| 1679543532 | Geraldine Merola Barton | Psychologist | 159 Green St, Suite 1, Kingston, NY 12401-3736 | 2006-01-24 |
| Find all providers in KINGSTON | ||||
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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.