GREGORY HICKS (NPI# 1114387834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114387834 |
| Entity Type | Individual |
| Full Name | GREGORY HICKS |
| Practice Address |
10 Manhattan Ave Brooklyn NY 11206-3950 |
| Practice Telephone | 7183883075 |
| Practice Fax Number | 7183884468 |
| Mailing Telephone | 7183883075 |
| Mailing Fax Number | 7183884468 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417146960 | Gregory J. Hicks | Chiropractor | 27537 Warren Rd, Garden City, MI 48135-2253 | 2007-10-22 |
| 1538200498 | Gregory Willard Hicks | Optometrist | 2331 Columbus Ave, Sandusky, OH 44870-4827 | 2007-02-12 |
| 1699057513 | Gregory Hicks | Pharmacist | 5917 High St W, Portsmouth, VA 23703-4505 | 2011-09-16 |
| 1629168844 | Gregory D Hicks | Surgery | 3801 Bee Ridge Rd, Suit 1, Sarasota, FL 34233 | 2006-10-16 |
| 1649384553 | Gregory B. Hicks | Emergency Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2006-08-18 |
| 1982619003 | Gregory J Hicks | Hospitalist | 5200 Dtc Pkwy, Suite 400, Greenwood Village, CO 80111-2709 | 2006-07-29 |
| Street Address |
10 MANHATTAN AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11206-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629151857 | Ray Rebortira | Psychiatry & Neurology | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2006-10-23 |
| 1689156259 | Kingsboro Psychiatric Center | Nursing Care | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2018-08-30 |
| 1881113751 | Chinyere Ukomadu | Psychologist | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2017-09-12 |
| 1487015400 | Camille Wilson | Counselor | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2016-03-18 |
| 1063872471 | Stella Thomas | Counselor | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2016-02-26 |
| 1821462797 | Betty Dubose | Registered Nurse | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2015-11-16 |
| 1306219126 | Vianesy Maireni Medrano | Social Worker | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2015-11-02 |
| 1982915260 | Yvette Veronica Bynoe | Registered Nurse | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2010-07-01 |
| 1205152410 | Arlene Shegerian | Social Worker | 10 Manhattan Ave, Williamsburg Clinic, Brooklyn, NY 11206-3950 | 2010-04-13 |
| 1013233469 | Charles E. Flot Jr. | Social Worker | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2010-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
| 1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
| 1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
| 1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
| 1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
| 1184284895 | Jacqueline So | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-06-14 |
| 1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
| 1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
| 1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
| 1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
| Find all providers in zip 11206 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1225659923 | Renee S Peterkin | Peer Specialist | 1016 Ralph Ave, Brooklyn, NY 11236-1258 | 2020-05-04 |
| 1639704984 | Henry Smith | Peer Specialist | 236 Fountain Ave, Brooklyn, NY 11208-2516 | 2020-03-06 |
| 1811530595 | Shernold Michaud | Peer Specialist | 195 Montague Steet, Condo Unit K, 8th Floor, Brooklyn, NY 11201-3628 | 2019-10-24 |
| 1316592066 | Felix Alexander Barbour | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2019-08-08 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1093186199 | Isaac Trieger | Peer Specialist | 1118 45th St Apt 1r, Brooklyn, NY 11219-2192 | 2015-10-14 |
| 1447859574 | Lynnedell Felinor | Peer Specialist | 2037 Utica Ave Ste 2, Brooklyn, NY 11234-3234 | 2020-10-20 |
| 1336746098 | Yeimi Felix | Peer Specialist | 1623 Kings Hwy, Brooklyn, NY 11229-1209 | 2020-10-06 |
| 1366057507 | Sean Alexander | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2020-09-14 |
| Find all providers in BROOKLYN | ||||
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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.