Provider Demographics
NPI:1952416083
Name:FIELD, RONALD (PHD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:FIELD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 OLD ROUTE 9
Mailing Address - Street 2:# 5
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2476
Mailing Address - Country:US
Mailing Address - Phone:845-875-7133
Mailing Address - Fax:845-875-7133
Practice Address - Street 1:209 OLD ROUTE 9
Practice Address - Street 2:# 5
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2476
Practice Address - Country:US
Practice Address - Phone:845-875-7133
Practice Address - Fax:845-875-7133
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016735103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist