CHRISTINE COOLIDGE RN CS PHD PC (NPI# 1932272309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932272309 |
| Entity Type | Organization |
| Organization Name | CHRISTINE COOLIDGE RN CS PHD PC |
| Other Organization Name | LONG ISLAND PAIN & STRESS HAMPTON PAIN & STRESS |
| Practice Address |
186 W Montauk Hwy D 1 Hampton Bays NY 11946 |
| Mailing Address |
18 Duckwood La Hampton Bays NY 11946 |
| Practice Telephone | 6317282000 |
| Mailing Telephone | 6317282000 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | CHRISTINE COOLIDGE (PRESIDENT) |
| Authorized Official Telephone | 6317282000 |
| Authorized Official Credential | RN CS PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | 2428621 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 103T00000X | Psychologist | 0148401 | NY | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Long Island Pain & Stress Hampton Pain & Stress | Other Name - Individual/Organization |
| Street Address |
186 W MONTAUK HWY D 1 |
| City | HAMPTON BAYS |
| State | NY |
| Zip Code | 11946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349029 | Martha Danielle Belesis | Social Worker | 6 East Canal Ct, Hampton Bays, NY 11946 | 2020-02-28 |
| 1568005270 | Robert Joseph Whelan | Massage Therapist | 1 Roberta Court, Hampton Bays, NY 11946 | 2019-10-25 |
| 1912569286 | Patrick P Reilly | Physical Therapy Assistant | 51 Fanning Ave, Hampton Bays, NY 11946 | 2019-07-08 |
| 1376073908 | Town of Southampton | Clinic/Center | 25 Ponquogue Ave, Hampton Bays, NY 11946 | 2017-06-15 |
| 1932647229 | Deena Lippman | Registered Nurse | 7 Debbie Trail, Hampton Bays, NY 11946 | 2017-02-07 |
| 1285176768 | Brian Jake Meringola | Physical Therapist | 13 Higbee Road, Hampton Bays, NY 11946 | 2016-11-15 |
| 1023564390 | Rehan Khalik | Pharmacist | 50 E Montauk Highway, Hampton Bays, NY 11946 | 2016-08-28 |
| 1164822680 | Robert Eugene Miller | Surgery | 1 Peconic Overlook, Hampton Bays, NY 11946 | 2014-09-03 |
| 1255674214 | Lynden Ishmael Watson | Nurse's Aide | 32 Lamplight Cir, Hampton Bays, NY 11946 | 2013-03-28 |
| 1073866570 | Barbara Jeanne Bendowski | Nurse Practitioner | 145 West Montauk Highway, Hampton Bays, NY 11946 | 2012-10-22 |
| Find all providers in zip 11946 | ||||
| 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 |
|---|---|---|---|---|
| 1609086594 | Jon A. Lieberman | Psychologist | 37 Hubbard Ln, Hampton Bays, NY 11946-3506 | 2007-05-22 |
| 1255525549 | Christine Coolidge | Psychologist | 186 W Montauk Hwy, D1, Hampton Bays, NY 11946 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | HAMPTON BAYS |
| Zip Code | 11946 |
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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.