GEORGE ANDREW BLEDNICK (NPI# 1902984370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902984370 |
| Entity Type | Individual |
| Full Name | GEORGE ANDREW BLEDNICK |
| Credential | PHD |
| Practice Address |
36 Overhill Rd Melville NY 11747-1036 |
| Practice Telephone | 6314278505 |
| Practice Fax Number | 6314278505 |
| Mailing Telephone | 6314278505 |
| Mailing Fax Number | 6314278505 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5203 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 6800476 | 01 |
| Street Address |
36 OVERHILL RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1699019109 | Laura Damico | Psychologist | 140 Raspberry Ct, Melville, NY 11747-8706 | 2012-11-21 |
| 1588937221 | Jessica Joy Puttre | Psychologist | 555 Broadhollow Rd 327, Melville, NY 11747-5018 | 2012-02-10 |
| 1225351448 | Ron K Stewart | Psychologist | 106 Pembroke Ave, Melville, NY 11747-4309 | 2010-03-02 |
| 1952561136 | Harold S Stulbaum | Psychologist | 423 Florencia Pl, Melville, NY 11747-5298 | 2008-06-11 |
| 1639399678 | Pamela Jean Spencer | Psychologist | 3 Giffard Way, Melville, NY 11747-2310 | 2007-05-01 |
| 1265554422 | Marilyn Blumenthal | Psychologist | 30 Clafford Ln, Melville, NY 11747-1310 | 2007-04-06 |
| 1982789970 | Lawrence Robert Kotkin | Psychologist | 61 Wilmington Dr, Melville, NY 11747-4032 | 2006-10-26 |
| 1073605614 | Shana Nichols | Psychologist | 63 Old East Neck Rd, Melville, NY 11747-2806 | 2006-09-29 |
| 1629175039 | Fred L Holtz | Psychologist | 20 Broadhollow Rd, Suite 2004, Melville, NY 11747-2501 | 2006-09-20 |
| 1578669768 | Richard M. Tuck | Psychologist | 5 Holly Ct, Melville, NY 11747-2312 | 2006-09-15 |
| Find all providers in MELVILLE | ||||
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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.