MRS. KEANN PENDER (NPI# 1215580055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215580055 |
| Entity Type | Individual |
| Full Name | MRS. KEANN PENDER |
| Practice Address |
345 Guyon Ave Rm 14 Staten Island NY 10306 |
| Mailing Address |
22355 65th Ave Oakland Gardens NY 11364-2313 |
| Practice Telephone | 9144404670 |
| Mailing Telephone | 5164397552 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006347 | NY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4130 75th St, Elmhurst, NY 113731986 | 5164397552 |
| Street Address |
345 GUYON AVE RM 14 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308468 | Sanctuary Mental Health Counseling, Pllc | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| 1669864369 | Staten Island Medical of New York, LLC | Surgery | 1975 Hylan Blvd Ste C, Staten Island, NY 10306 | 2015-03-04 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799675 | Matthew Marchisello | Counselor | 201 Forest Avenue, Staten Island, NY 10301-2763 | 2020-10-30 |
| 1932708682 | My Quiet Place, Mental Health Counseling P.C. | Counselor | 115 Graham Blvd Apt A, Staten Island, NY 10305-4005 | 2020-10-23 |
| 1043817067 | Jessica Megan Flores | Counselor | 218 Union Ave, Staten Island, NY 10303-2442 | 2020-10-02 |
| 1780291070 | Alexandria Savastano | Counselor | 87 Tioga St, Staten Island, NY 10301-4209 | 2020-09-30 |
| 1326652322 | Chloe Jeannette Hansen-augello | Counselor | 194 Robinson Ave, Staten Island, NY 10312-6216 | 2020-09-07 |
| 1497369722 | Jennifer Laura Lerner | Counselor | 2a Kathy Pl, Staten Island, NY 10314-5912 | 2020-09-03 |
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1578188447 | Christina Marie Carbone | Counselor | 177 Sprague Ave, Staten Island, NY 10307-1959 | 2020-06-16 |
| 1689298044 | Michelle Renee Perlongo | Counselor | 12 Jefferson Blvd Ste 2, Staten Island, NY 10312-3330 | 2020-06-02 |
| 1215550033 | Kay Nuzzo | Counselor | 198 Davis Ave, Staten Island, NY 10310-1652 | 2020-05-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on MRS. KEANN PENDER.
| 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.