THE DIFFERENCE EXPERIENCE CO


Address: 243 W 116th St Apt 5e, New York, NY 10026-2441
Phone: (917) 586-7639

THE DIFFERENCE EXPERIENCE CO (NPI# 1174052971) 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) 1174052971
Entity Type Organization
Organization Name THE DIFFERENCE EXPERIENCE CO
Other Organization Name THE DIFFERENCE
Practice Address 243 W 116th St Apt 5e
New York
NY 10026-2441
Practice Telephone (917) 586-7639
Mailing Telephone 9175867639
Enumeration Date 2017-06-06
Last Update Date 2017-06-06
Authorized Official Name BEATRICE ARTHUR (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9175867639
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY STATE LICENSE 18-005943 01

Other Provider/Organization Names

Other Name Type Code
The Difference Doing Business As Name - Organization

Office Location

Street Address 243 W 116TH ST APT 5E
City NEW YORK
State NY
Zip Code 10026-2441

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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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1881225217 Relational Fulfillment Psychotherapy Lcsw Pllc Clinic/Center 352 7th Ave Rm 1005, New York, NY 10001-5021 2020-02-04
1447890629 William Howard Critzman IIi Clinic/Center 7 W 30th St. 10th Floor, New York, NY 10001 2020-01-15
1154965077 Patricia Berman, Lcsw, P.C. Clinic/Center 575 W End Ave Apt Grb, New York, NY 10024-2755 2019-11-04
1023664752 Carrie Lynne Walsh Clinic/Center 7 W 30th St Fl 10, New York, NY 10001-4406 2019-08-19
1871147298 Inzan Monica Rose Clinic/Center Blanton-peale Counseling Center, 7 West 30th Street, 9th Floor, New York, NY 10001 2019-07-25
1457838039 Wave Counseling Lcsw Clinic/Center 112 W 34th St Fl 18, New York, NY 10120-0001 2018-07-25
1245745751 Jl Counseling Services Lcsw P.C. Clinic/Center 8 W 126th St Fl 3, New York, NY 10027-3811 2017-12-06
1336659879 Valerie Simon D/b/a The Inner Stage Clinic/Center 57 W 57th St Ste 704, New York, NY 10019-2802 2017-10-11
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Competitor

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City NEW YORK
Zip Code 10026

Improve Information

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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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