| Complete Neuropsychology Pc | |
|
222 Rockaway Tpke Cedarhurst NY 11516-1833 | |
| (516) 595-8565 | |
| Not Available |
| Full Name | Complete Neuropsychology Pc |
|---|---|
| Speciality | Psychologist |
| Location | 222 Rockaway Tpke, Cedarhurst, New York |
| Authorized Official Name and Position | Sara Malagold (OWNER) |
| Authorized Official Contact | 6463302500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Neuropsychology Pc 260 Central Ave 319 Lawrence NY 11559-1652 Ph: () - | Complete Neuropsychology Pc 222 Rockaway Tpke Cedarhurst NY 11516-1833 Ph: (516) 595-8565 |
| NPI Number | 1659812766 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Medicare PECOS PAC ID | 3870869076 |
|---|---|
| Medicare Enrollment ID | O20171016001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659812766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 019983 (New York) | Primary |
| Provider Name | Stacy Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881806990 PECOS PAC ID: 6608930359 Enrollment ID: I20090126000324 |
| Provider Name | Josephine Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447570551 PECOS PAC ID: 6608037296 Enrollment ID: I20120406000335 |
| Provider Name | Mark M Zimmermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275782179 PECOS PAC ID: 9638397300 Enrollment ID: I20140822000715 |
| Provider Name | Sara R Malagold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407030216 PECOS PAC ID: 6204980816 Enrollment ID: I20150421000480 |
| Provider Name | Jason Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033464052 PECOS PAC ID: 4183907009 Enrollment ID: I20170220000242 |
| Provider Name | Leah Halikiopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679958318 PECOS PAC ID: 2961769765 Enrollment ID: I20171204001640 |
| Provider Name | Dana Therese Savidge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851771505 PECOS PAC ID: 7214234046 Enrollment ID: I20181109001263 |
| Provider Name | Ari L Gabin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417348848 PECOS PAC ID: 1254750177 Enrollment ID: I20200926000091 |
| Provider Name | Gabrielle Teller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316100399 PECOS PAC ID: 3577964733 Enrollment ID: I20210624002798 |
| Provider Name | Richard Ray Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497229447 PECOS PAC ID: 1052791209 Enrollment ID: I20220705003012 |
| Provider Name | Rebecca A Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821874793 PECOS PAC ID: 3577904028 Enrollment ID: I20240515000480 |
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