YANA BANNIKOVA (NPI# 1063947984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063947984 |
| Entity Type | Individual |
| Full Name | YANA BANNIKOVA |
| Credential | CASAC-T |
| Practice Address |
73 Lenox Ave New York NY 10026-3007 |
| Practice Telephone | 2126631596 |
| Practice Fax Number | 2126631323 |
| Mailing Telephone | 2126631596 |
| Mailing Fax Number | 2126631323 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
73 LENOX AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962839191 | Brandon Jermaine Swails | Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2013-10-02 |
| 1750911905 | David Powell | Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2020-01-16 |
| 1518507961 | Maritza Emestica | Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2020-01-14 |
| 1659911360 | Tanaisha Jackson | Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2020-01-10 |
| 1366080087 | Priscilla C Lopez | Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2019-12-12 |
| 1982241535 | Nicholas Rescoe | Registered Nurse | 73 Lenox Ave, New York, NY 10026-3007 | 2019-12-03 |
| 1730726548 | Clarissa Martinez | Registered Nurse | 73 Lenox Ave, New York, NY 10026-3007 | 2019-11-30 |
| 1275179145 | Zoe Goldberg | Registered Nurse | 73 Lenox Ave, New York, NY 10026-3007 | 2019-11-26 |
| 1740830082 | Lisa Melcher | Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2019-09-18 |
| 1326698747 | William Schaeffer | Rehabilitation Counselor | 73 Lenox Ave, New York, NY 10026-3007 | 2019-09-17 |
| Find all providers in the same location | ||||
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
| 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.