MR. MARCUS VINCENT DAUGHERTY (NPI# 1184721789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184721789 |
| Entity Type | Individual |
| Full Name | MR. MARCUS VINCENT DAUGHERTY |
| Credential | M.A., LMHC |
| Practice Address |
1600 Macombs Rd Bronx NY 10452-2016 |
| Mailing Address |
340 E Mosholu Pkwy S Apt 1b Bronx NY 10458-1756 |
| Practice Telephone | 7182993300 |
| Mailing Telephone | 7182993300 |
| Mailing Fax Number | 7187330840 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002242-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1600 MACOMBS RD |
| City | BRONX |
| State | NY |
| Zip Code | 10452-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023673274 | Janine Deon Brooks | Social Worker | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2019-05-03 |
| 1285129312 | Altrovise Melissa Walcott | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2018-07-01 |
| 1922593219 | Judith Sason | Social Worker | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2018-06-28 |
| 1326555657 | Annette Robinson | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2018-01-09 |
| 1538676705 | Johnny Willie Taylor Jr. | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2018-01-09 |
| 1275040461 | George Williams | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2018-01-09 |
| 1083121057 | Michael Leonard Warren | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2017-12-29 |
| 1114465077 | Melissa Thomas | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2017-02-10 |
| 1487047718 | Katie Leach | Counselor | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2015-03-11 |
| 1265825533 | Tracey Prisca Stephen | Social Worker | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2015-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1194205096 | Lorraine E Essien | Licensed Practical Nurse | 1491 Macombs Road, Apt 4j, Bronx, NY 10452 | 2018-08-20 |
| 1578042768 | Latisha Monique Williams | Registered Nurse | 1465 Nelson Avenue, #2g, Bronx, NY 10452 | 2018-08-09 |
| 1073022695 | Jenny Amparo Calderon | Case Manager/Care Coordinator | 1265 Gerard Avenue Apt 4f, Bronx, NY 10452 | 2017-09-26 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1548786288 | James Bishop Jr. | Counselor | 1366 Inwood Ave 1st Floor, Bronx, NY 10452 | 2017-08-15 |
| 1346763315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 88 Featherbed Ln, Bronx, NY 10452 | 2017-07-21 |
| 1841712205 | Gloria Susanah Tirado | Registered Nurse | 95 W 162nd Street Apt 26, Bronx, NY 10452 | 2017-07-07 |
| 1568999266 | Madeline Mora | Occupational Therapy Assistant | 1424 Shakespeare Ave, Apt# 2fl, Bronx, NY 10452 | 2017-05-12 |
| 1265963995 | Nana Yaa Darkwah | Licensed Practical Nurse | 1475 Wythe Place#6d, Bronx, NY 10452 | 2017-03-24 |
| Find all providers in zip 10452 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1578162400 | Nancy Alfaro | Counselor | 280 E 134th St Apt 6b, Bronx, NY 10454-4585 | 2020-10-21 |
| 1639778954 | Healthy Minds Nyc Pllc | Counselor | 3060 Albany Cres Apt 33, Bronx, NY 10463-5637 | 2020-10-19 |
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1033725908 | Richard Anthony Robinson | Counselor | 1530 Plimpton Ave Apt 1b, Bronx, NY 10452-1741 | 2020-09-16 |
| 1477168680 | Fathima Humaira Naushad | Counselor | 3508 Kings College Pl Apt 4d, Bronx, NY 10467-1562 | 2020-09-14 |
| 1790399491 | Rossi Alim Hassad | Counselor | 1980 Unionport Rd Apt E31, Bronx, NY 10462-2864 | 2020-09-01 |
| 1659983054 | Xioel Lissette Terrero | Counselor | 780 Pelham Pkwy S Apt E14, Bronx, NY 10462-1105 | 2020-08-18 |
| 1114537644 | Alexandra Carter | Counselor | 1021 Jennings St, Bronx, NY 10460-6010 | 2020-08-10 |
| 1801414040 | Andrea Fernandez | Counselor | 2190 Bolton St Apt 3b, Bronx, NY 10462-1317 | 2020-07-13 |
| Find all providers in BRONX | ||||
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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.