JILL ANN PETTINGER (NPI# 1922106608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922106608 |
| Entity Type | Individual |
| Full Name | JILL ANN PETTINGER |
| Credential | PSY.D. |
| Practice Address |
790 Lancaster St Albany NY 12203-1506 |
| Practice Telephone | 5184894431 |
| Practice Fax Number | 5184895189 |
| Mailing Telephone | 5184894431 |
| Mailing Fax Number | 5184895189 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
012831 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02204497 | 05 |
| Street Address |
790 LANCASTER ST |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730284688 | Ginna M Roeding | Psychologist | 790 Lancaster St, Albany, NY 12203-1506 | 2006-09-14 |
| 1790263929 | Francine Maria Reistetter | Social Worker | 790 Lancaster St, Albany, NY 12203-1541 | 2018-07-31 |
| 1801202064 | Emily Mccarty | Counselor | 790 Lancaster St, Albany, NY 12203-1541 | 2014-07-09 |
| 1427208156 | Thomas Edward Konopka | Social Worker | 790 Lancaster St, Albany, NY 12203-1506 | 2008-09-30 |
| 1962628974 | Anthony J. Chiaramonte | Counselor | 790 Lancaster St, Albany, NY 12203-1506 | 2007-04-18 |
| 1457421919 | Roman Catholic Diocese of Albany Ny | Psychologist | 790 Lancaster St, Albany, NY 12203-1506 | 2006-11-09 |
| 1619075348 | Bronna D Romanoff | Psychologist | 790 Lancaster St, Albany, NY 12203-1506 | 2006-09-20 |
| 1700984465 | Zonnita R Banks | Social Worker | 790 Lancaster St, Albany, NY 12203-1506 | 2006-09-20 |
| 1437255320 | Ronald W Toseland | Social Worker | 790 Lancaster St, Albany, NY 12203-1506 | 2006-09-16 |
| 1710083621 | Linda Mcglynn | Social Worker | 790 Lancaster St, Albany, NY 12203-1506 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1346707270 | Matthew Golley | Psychologist | Samuel S. Stratton Vamc, 113 Holland Avenue, Albany, NY 12208 | 2019-02-27 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1013417286 | Linda Renee Bockheim | Psychologist | 425 2nd Ave Sw Ste 204, Albany, OR 97321-2485 | 2018-02-14 |
| 1700384468 | G.h. Wilber, Psy.d., Pllc | Psychologist | 5 Pine West Plz Ste 511, Albany, NY 12205-5587 | 2018-01-29 |
| 1447775200 | Heidi Rochelle Wright | Psychologist | 1365 Washington Ave Ste 102a, Albany, NY 12206-1098 | 2017-08-13 |
| 1366995508 | Supriya Blair | Psychologist | 1 Ten Broeck St Ste 1, Albany, NY 12210-2521 | 2016-07-24 |
| 1225411341 | Bradley Biggsphd Psychologist P.C. | Psychologist | 142 N Allen St, Suite C, Albany, NY 12206-1700 | 2015-07-07 |
| 1215339171 | Mary Kathleen O'neill | Psychologist | 314 South Manning Blvd., Albany, NY 12208 | 2014-09-23 |
| Find all providers in ALBANY | ||||
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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.