RICHARD DIVIS (NPI# 1073087904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073087904 |
| Entity Type | Individual |
| Full Name | RICHARD DIVIS |
| Practice Address |
465 Grand St New York NY 10002-4800 |
| Mailing Address |
1743 Shore Pkwy Brooklyn NY 11214-6510 |
| Practice Telephone | 2124201999 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
1285943181 | NY | Behavioral Health & Social Service Providers |
| Street Address |
465 GRAND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235266016 | Peter Vietze | Psychologist | 465 Grand St, 3rd Floor, New York, NY 10002-4800 | 2007-02-27 |
| 1891309415 | Nicole Cybil Sook Yi Lim | Psychologist | 465 Grand St, New York, NY 10002-4800 | 2020-09-01 |
| 1265046890 | Alma Coral Torres Colon | Clinic/Center | 465 Grand St, New York, NY 10002-4800 | 2020-09-01 |
| 1982225066 | Leah Pollak | Social Worker | 465 Grand St, New York, NY 10002-4800 | 2020-04-30 |
| 1801417985 | Sarah Rieder | Social Worker | 465 Grand St, New York, NY 10002-4800 | 2020-04-30 |
| 1902427081 | Leah Roman | Social Worker | 465 Grand St, New York, NY 10002-4800 | 2020-04-30 |
| 1376182865 | Madelyn Buestan | Social Worker | 465 Grand St, New York, NY 10002-4800 | 2019-12-31 |
| 1225687379 | Samara Lipsky | Psychologist | 465 Grand St, New York, NY 10002-4800 | 2019-09-10 |
| 1932756665 | Eudis D Wynns | Specialist | 465 Grand St, New York, NY 10002-4800 | 2019-08-19 |
| 1497317101 | Qianhong Lin | Case Manager/Care Coordinator | 465 Grand St, New York, NY 10002-4800 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776507 | Betances Health Center | Dietitian, Registered | 280 Henry Street, New York, NY 10002 | 2020-07-06 |
| 1558996041 | John X Wang Acupuncture PC | Acupuncturist | 27 East Broadway, 6fl, New York, NY 10002 | 2020-03-05 |
| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
| 1528558616 | Center for All Abilities, Inc. | Music Therapist | 136 Henry Street, New York, NY 10002 | 2018-05-14 |
| 1811490501 | Haishuang Huang | Health Educator | 87 Bowery, Fl 1, New York, NY 10002 | 2018-03-09 |
| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
| Find all providers in zip 10002 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
| 1669901088 | Miho Murashima | Counselor | 48 W 74 St., New York, NY 10023 | 2017-06-08 |
| 1174998694 | Genaro R Annunziato | Counselor | 121 East 30th Street, Happy Hour 4 Kids, New York, NY 10016 | 2015-12-09 |
| 1487034492 | Alena Lygate Grunberg | Counselor | 251 E 32nd St Apt 14b, New York, NY 10016-6304 | 2015-06-04 |
| 1497195135 | Joy Furer | Counselor | 145 W. 74th St, Apt 2a, New York, NY 10023 | 2013-06-26 |
| 1881960656 | Marlene V Pendergast | Counselor | 46 E 1st St, Apt 4d, New York, NY 10003-9309 | 2012-03-27 |
| 1497062822 | Paige Dana Polisner | Counselor | 30 W 61st St Apt 8b, New York, NY 10023-7619 | 2010-09-07 |
| 1033728837 | Melody Paniagua | Counselor | 590 Avenue of The Americas, New York, NY 10011-2022 | 2020-07-28 |
| 1871124370 | Shanieka Francis | Counselor | 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 | 2020-02-03 |
| 1316413602 | Geraldine Hernandez | Counselor | 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 | 2018-10-15 |
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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.