MS. IRENE POLITIS


Address: 340 East 24th Street, Icd, New York, NY 10010-4019
Phone: 2125856267

MS. IRENE POLITIS (NPI# 1104895929) 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) 1104895929
Entity Type Individual
Full Name MS. IRENE POLITIS
Credential CASAC
Practice Address 340 East 24th Street
Icd
New York
NY 10010-4019
Mailing Address 201 East 21st Street
#4c
New York
NY 10010-6405
Practice Telephone 2125856267
Practice Fax Number 2125856052
Mailing Telephone 2127773765
Enumeration Date 2006-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 5185 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CASAC 5185 01

Office Location

Street Address 340 EAST 24TH STREET
ICD
City NEW YORK
State NY
Zip Code 10010-4019

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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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Competitor

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City NEW YORK
Zip Code 10010

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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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