CAROL L PUCEK (NPI# 1932291960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932291960 |
| Entity Type | Individual |
| Full Name | CAROL L PUCEK |
| Other Name | MISS CAROL LAURETTA PUCEK |
| Credential | NPP |
| Practice Address |
510 Haight Avenue Suite 102 Spectrum Behavioral Management Serv Inc Poughkeepsie NY 12603-2408 |
| Mailing Address |
20 Davis Avenue Poughkeepsie NY 12603-2408 |
| Practice Telephone | 8454853500 |
| Practice Fax Number | 8454858780 |
| Mailing Telephone | 8454853500 |
| Mailing Fax Number | 8454858780 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-10-14 |
| 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 |
F40003011 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MVP HEALTH CARE PUCEK CAR | 911903 | 01 | |
| MAGELLAN PUCEK CAROL | 056368000 | 01 | |
| CIGNA HEALTH CARE PUCEK C | 2053176 | 01 | |
| AETNA PUCEK CAROL | 7322339 | 01 | |
| BSNENY PUCEK CAROL | 000470727002 | 01 | |
| CDPHP PUCEK CAROL | 13711810046780 | 01 | |
| VALUEOPTIONS PUCEK CAROL | 137118 | 01 | |
| VALUEOPTIONS PUCEK CAROL | 7482505 | 01 | |
| BEACON HEALTH STRAT PUCEK | 1033150 | 01 | |
| AETNA PUCEK CAROL | 7795261 | 01 |
| Street Address |
510 HAIGHT AVENUE SUITE 102 SPECTRUM BEHAVIORAL MANAGEMENT SERV INC |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578679759 | Jacques M Delphin | Psychiatry & Neurology | 510 Haight Avenue Suite 102, Sprectrum Behavioral Management Serv Inc, Poughkeepsie, NY 12603-2408 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| 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 |
|---|---|---|---|---|
| 1477884500 | Laurel Olga Paporto | Nurse Practitioner | 514 Haight Ave., Poughkeepsie, NY 12603 | 2010-01-29 |
| 1316508575 | Sarah Beth Krim | Nurse Practitioner | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2019-06-27 |
| 1922311240 | Maria C Petruzzo | Nurse Practitioner | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2010-07-15 |
| 1366498669 | Terri Ann Coonrad-hershkowitz | Nurse Practitioner | 370 Violet Ave, Poughkeepsie, NY 12601-1034 | 2006-05-26 |
| 1902859978 | Margaret Cerbone | Nurse Practitioner | 370 Violet Ave, Poughkeepsie, NY 12601-1034 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
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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.