CLINICIANS OF THE DIASPORA, LLC (NPI# 1063013191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063013191 |
| Entity Type | Organization |
| Organization Name | CLINICIANS OF THE DIASPORA, LLC |
| Practice Address |
203 W 117th St Apt 3e New York NY 10026-2139 |
| Mailing Address |
232 West 116th Street P.o. Box 1073 New York NY 10026 |
| Practice Telephone | 3475094648 |
| Mailing Telephone | 3475094648 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MS. MONICA THOMPSON (C.E.O.) |
| Authorized Official Telephone | 3475094648 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
203 W 117TH ST APT 3E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
| 1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
| 1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
| 1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
| 1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
| 1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
| 1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| Find all providers in zip 10026 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1275152605 | Norma J Alexander | Community/Behavioral Health | 26 Madison St Apt 8i, New York, NY 10038-1206 | 2020-04-15 |
| 1013546779 | Sandra Feist Lcsw, P.C. | Community/Behavioral Health | 133 W 72nd St Rm 404, New York, NY 10023-3237 | 2020-04-05 |
| 1710517248 | Head2sole Care LLC | Community/Behavioral Health | 700 Columbus Ave Apt 14f, New York, NY 10025-6679 | 2020-01-23 |
| 1689210056 | Elana Ester Oppenheim | Community/Behavioral Health | 336 E 71st St Apt 5e, New York, NY 10021-5221 | 2019-11-20 |
| 1396389565 | Recovery Health Solutions Ipa, LLC | Community/Behavioral Health | 315 W 36th St, New York, NY 10018-6404 | 2019-10-31 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| Find all providers in NEW YORK | ||||
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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.