PHILLIP SCOTT TENENBAUM (NPI# 1164928156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164928156 |
| Entity Type | Individual |
| Full Name | PHILLIP SCOTT TENENBAUM |
| Credential | LMHC |
| Practice Address |
3804 31st Ave Astoria NY 11103 |
| Mailing Address |
3804 31st Ave Astoria NY 11103-3800 |
| Practice Telephone | 5165544865 |
| Mailing Telephone | 5165544865 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3804 31ST AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595252 | Charles A. Krieger | Chiropractor | 3804 31st Ave, Astoria, NY 11103-3800 | 2006-07-06 |
| 1467969279 | Marnie Zigelman | Social Worker | 3804 31st Ave, Astoria, NY 11103-3800 | 2018-01-02 |
| 1962819995 | Chiropractic Neurofedback Asociates of Newyork | Specialist | 3804 31st Ave, Astoria, NY 11103-3800 | 2014-07-22 |
| 1396169009 | Oargyris Ot PC | Clinic/Center | 3804 31st Ave, Astoria, NY 11103-3800 | 2014-02-17 |
| 1366762262 | Krieger Chiropractic Office, Pllc | Chiropractor | 3804 31st Ave, Astoria, NY 11103-3800 | 2010-06-03 |
| 1063651180 | Patrick Joseph Bustamante | Physical Therapist | 3804 31st Ave, Astoria, NY 11103-3800 | 2009-02-12 |
| 1396994406 | Jairus Bryan Paltriguera Delfin | Physical Therapist | 3804 31st Ave, Astoria, NY 11103-3800 | 2008-09-12 |
| 1659537041 | Damian Joseph Martino | Pain Medicine | 3804 31st Ave, Astoria, NY 11103-3800 | 2008-08-05 |
| 1235333550 | Ies Medical | Clinic/Center | 3804 31st Ave, Astoria, NY 11103-3800 | 2007-06-12 |
| 1699795963 | I.e.s. Medical, PC | Physical Medicine & Rehabilitation | 3804 31st Ave, Astoria, NY 11103-3800 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1801412390 | Kimberly Alberta Martin | Counselor | 2368 Crescent St Fl 1, Astoria, NY 11105-3108 | 2020-06-19 |
| 1295361483 | Stephen Kendall | Counselor | 2038 29th St Apt 2, Astoria, NY 11105-2578 | 2020-03-19 |
| 1396376174 | Crespo Mental Health Counseling Service Pllc | Counselor | 4012 31st Ave Ste 1, Astoria, NY 11103-3459 | 2020-01-30 |
| 1972142156 | Full Scope Mental Health Counseling Pllc | Counselor | 3109 Newtown Ave Ste 409, Astoria, NY 11102-1373 | 2020-01-05 |
| 1184276354 | Elliott Dalton Skaggs | Counselor | 2654 30th St Apt 1r, Astoria, NY 11102-2151 | 2019-07-09 |
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1023502721 | Evangelos Anastasios Samaras | Counselor | 2246 31st St Rear House, Astoria, NY 11105-2786 | 2018-06-18 |
| 1184112708 | Amy Glasgow | Counselor | 4503 Broadway Apt 2l, Astoria, NY 11103-1625 | 2018-04-30 |
| 1578050092 | Charles B Chambers | Counselor | 1139 Exchange St, Astoria, OR 97103-4129 | 2018-04-19 |
| Find all providers in ASTORIA | ||||
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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.