KEVIN O'DONOGHUE


Address: 119 W 57th St, Suite 1100, New York, NY 10019-2303
Phone: 2127574488

KEVIN O'DONOGHUE (NPI# 1013457506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013457506
Entity Type Individual
Full Name KEVIN O'DONOGHUE
Credential CSW
Practice Address 119 W 57th St
Suite 1100
New York
NY 10019-2303
Practice Telephone 2127574488
Practice Fax Number 2127573555
Mailing Telephone 2127574488
Mailing Fax Number 2127573555
Enumeration Date 2017-03-02
Last Update Date 2017-03-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor NYS0074841 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE NYS0074841 01

Office Location

Street Address 119 W 57TH ST
SUITE 1100
City NEW YORK
State NY
Zip Code 10019-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881673143 Jerry L Halpern Dentist 119 W 57th St, Suite 914, New York, NY 10019-2303 2006-01-13
1073085429 Claudia Chakravaka Arger Social Worker 119 W 57th St, New York, NY 10019-2303 2018-12-26
1629548540 Emily Gayeski-freedman Physical Therapist 119 W 57th St, Ste 600, New York, NY 10019-2305 2018-12-04
1477080679 Jessica Fiedler Dietitian, Registered 119 W 57th St, New York, NY 10019-2303 2017-05-18
1023565991 Robert Steven Gotlin Do, Pllc Clinic/Center 119 W 57th St, Suite 212, New York, NY 10019-2303 2016-09-07
1598114845 Nina Lei Counselor 119 W 57th St, Suite 1100, New York, NY 10019-2303 2016-06-08
1942661194 Lisa M Bartoli Do, Pllc Physical Medicine & Rehabilitation 119 W 57th St, Suite 212, New York, NY 10019-2303 2016-03-16
1881059152 Tara Cuskley Psychologist 119 W 57th St, Ste 1100, New York, NY 10019-2401 2015-12-30
1508221730 Empire Interventional Pain, PC Physical Medicine & Rehabilitation 119 W 57th St, Suite 717, New York, NY 10019-2303 2015-12-14
1275902728 Adam Johnson Psychologist 119 W 57th St, New York, NY 10019-2303 2015-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356801153 Nicholas Theodoropoulos Student in an Organized Health Care Education/Training Program 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 2019-03-20
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1043784804 Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc Dentist 135 West 58 Street, Suite 1d, Nyc, NY 10019 2019-01-15
1053881680 Mary Pender Greene Social Worker 311a West 50 Street, New York, NY 10019 2018-11-27
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1851955827 Elisha Beinart Counselor 363 W 30th St Apt 2d, New York, NY 10001-2761 2019-04-25
1255803698 Alexis Alpage Mercer Counselor 200 W 147th St Apt 6f, New York, NY 10039-0095 2018-12-26
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Competitor

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City NEW YORK
Zip Code 10019

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Dataset Information

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.

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