MR. GLENN BRANTLEY


Address: 777 Seaview Ave, Sbpc:health Home Program, Staten Island, NY 10305
Phone: 7186688061

MR. GLENN BRANTLEY (NPI# 1255794137) 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) 1255794137
Entity Type Individual
Full Name MR. GLENN BRANTLEY
Practice Address 777 Seaview Ave
Sbpc:health Home Program
Staten Island
NY 10305
Mailing Address 777 Seaview Ave.
South Beach Psychiatric Center
Staten Island
NY 10305
Practice Telephone 7186688061
Practice Fax Number 7186688070
Mailing Telephone 7186688061
Mailing Fax Number 7186688070
Enumeration Date 2016-03-30
Last Update Date 2016-03-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NY 00769306 05

Office Location

Street Address 777 SEAVIEW AVE
SBPC:HEALTH HOME PROGRAM
City STATEN ISLAND
State NY
Zip Code 10305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396729919 Matthew Schwartz Psychiatry & Neurology 777 Seaview Ave, Building 10, Staten Island, NY 10305-3436 2005-12-06
1922607795 Bena Doris Ojeh Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-10-22
1104425974 Joseph Russo Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-10-22
1891302915 Divya Jose Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-09-24
1215540893 Christie Eden Refano Social Worker 777 Seaview Ave, Staten Island, NY 10305-3409 2020-08-25
1326663287 Ralph Daniel Alunan Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-06-16
1518589365 Renu Stephen Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-05-15
1750902565 Marie Feaser Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-05-04
1457972473 Melanie Raz Nurse Practitioner 777 Seaview Ave, Staten Island, NY 10305-3409 2020-04-30
1649890385 Jihan Chen Counselor 777 Seaview Ave, Staten Island, NY 10305-3409 2020-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972101517 Gina Sinchi Specialist 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 2020-10-15
1003436783 Ali Kassem Student in an Organized Health Care Education/Training Program 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 2020-04-22
1174183982 Mohammad Ass'ad Alshami Student in an Organized Health Care Education/Training Program 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 2019-06-14
1639632508 Abdullah Jahangir Student in an Organized Health Care Education/Training Program 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 2019-04-09
1922593813 Ifeyinwa Mary Asuzu Student in an Organized Health Care Education/Training Program 1 Edgewater Plaza Staten Island, New York, NY 10305 2018-06-25
1700377652 Celeste Jude Chow Speech-Language Pathologist 841 Father Capodanno Blvd, Staten Island, NY 10305 2018-05-27
1972094878 Mahmoud Shadi Student in an Organized Health Care Education/Training Program 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 2018-05-25
1396235131 Samyak Hiteshkumar Dhruv Student in an Organized Health Care Education/Training Program 475 Seaview Avenue, Staten Island, NY 10305 2018-05-17
1720583404 Michele Corrado Nurse Practitioner 27 Xenia St, Staten Island, NY 10305 2018-03-26
1861995912 Erika Renick Dietitian, Registered 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 2018-03-15
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932686441 Kare4kids Inc Case Management 857 Olympia Blvd Unit B, Staten Island, NY 10305-3225 2018-07-26
1376057398 Vine Gate Inc. Case Management 42 Amity Pl, Staten Island, NY 10303 2017-11-29
1043765332 Aum's Behavior Analysis Services, L.L.C. Case Management 123 Mcveigh Ave Fl 1, Staten Island, NY 10314-6133 2016-08-17
1417341900 Evangelia Josephine Cush Case Management 20 Pierpont Pl, Staten Island, NY 10314-5945 2015-03-24
1700183811 Comprehensive Care Centers of Staten Island Case Management 1828 Hylan Blvd, Staten Island, NY 10305 2011-02-25
1578866141 Blessed Hands Rehab Pt PC Case Management 1330a Rockland Ave, Staten Island, NY 10314-4944 2010-12-21
1023280708 Si Behavioral Network, Inc. Case Management 4434 Amboy Road, 2nd Floor, Staten Island, NY 10312 2008-04-02
1528283959 Community Health Action of Staten Island, Inc. Case Management 56 Bay St Fl 6, Staten Island, NY 10301-2563 2007-04-13
1801404660 Personal Medical Consultant LLC Case Management 351 Douglas Rd, Staten Island, NY 10304-1501 2020-07-17
1275025348 A Friendly Face Akademy Corp. Case Management 460 Midland Ave, Staten Island, NY 10306-5104 2018-06-04
Find all providers in STATEN ISLAND

Competitor

Search similar providers

City STATEN ISLAND
Zip Code 10305

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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