DR. ANGELINA S RODNER (NPI# 1992949192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992949192 |
Entity Type | Individual |
Full Name | DR. ANGELINA S RODNER |
Credential | PH.D. |
Practice Address |
505 Irving Ave Upstate Concussion Management Program Syracuse NY 13210-1718 |
Mailing Address |
505 Irving Avenue, Suite 1249d Upstate Concussion Mangement Program Syracuse NY 13210-2716 |
Practice Telephone | 3154648986 |
Practice Fax Number | 3154642329 |
Mailing Telephone | 3154648986 |
Mailing Fax Number | 3154642329 |
Enumeration Date | 2009-05-01 |
Last Update Date | 2013-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
018084 | NY | Behavioral Health & Social Service Providers |
Street Address |
505 IRVING AVE UPSTATE CONCUSSION MANAGEMENT PROGRAM |
City | SYRACUSE |
State | NY |
Zip Code | 13210-1718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952811333 | Michael Patrick Vannostrand | Clinical Exercise Physiologist | 505 Irving Ave, Syracuse, NY 13210-1718 | 2017-10-11 |
1841674553 | Rebecca Gavett | Clinical Neuropsychologist | 505 Irving Ave, Suny Upstate Medical University, Syracuse, NY 13210-1718 | 2015-07-13 |
1912304106 | Maggie Kathleen Krywalski | Clinical Nurse Specialist | 505 Irving Ave, Suite 1249, Syracuse, NY 13210-1718 | 2014-12-03 |
1366848343 | Sandra Compton | Registered Nurse | 505 Irving Ave, Syracuse, NY 13210-1718 | 2014-11-18 |
1689949836 | Gila Z. Reckess | Clinical Neuropsychologist | 505 Irving Ave, Syracuse, NY 13210-1718 | 2012-03-20 |
1730462656 | Tolani Ajagbe | Psychiatry & Neurology | 505 Irving Ave, Syracuse, NY 13210-1718 | 2011-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
Find all providers in zip 13210 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
1114586393 | Paige Ouimette, Phd, Psychologist, PC | Psychologist | 1101 Erie Blvd E Ste 206, Syracuse, NY 13210-1144 | 2019-06-11 |
1053827899 | Deborah L. Pollack, Psychologist, PC | Psychologist | 4317 E Genesee St Ste 200, Syracuse, NY 13214-2114 | 2017-12-15 |
1235571688 | Kelly C. Richards | Psychologist | 721 Orwood Pl, Syracuse, NY 13208-3124 | 2013-07-26 |
1275811291 | Dewitt Counseling Associates, Lcsw, PC | Psychologist | 890 E Brighton Ave, Syracuse, NY 13205-2538 | 2011-07-25 |
1932345998 | Norman J. Lesswing | Psychologist | 307 S Townsend St, Syracuse, NY 13202-2128 | 2008-12-22 |
1760656847 | Barbara Mcclure | Psychologist | 6 Lansdowne Rd, Syracuse, NY 13214-2123 | 2008-04-18 |
1316165301 | Michael Louis Boucher | Psychologist | 307 Semloh Dr, Syracuse, NY 13219-2829 | 2007-04-23 |
1922149368 | Jerome Rene Wilett | Psychologist | 500 N Mcbride St, Syracuse, NY 13203-1913 | 2007-02-09 |
1881755312 | John F Harkulich | Psychologist | 419 Shuart Ave, Syracuse, NY 13203-3025 | 2006-12-12 |
Find all providers in SYRACUSE |
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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.