MR. CHARLES ANDRE DAVIS (NPI# 1285055715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285055715 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ANDRE DAVIS |
| Credential | LMHC-LP |
| Practice Address |
1211 Putnam Ave Brooklyn NY 11221-4909 |
| Practice Telephone | 3472406099 |
| Practice Fax Number | 3472659547 |
| Mailing Telephone | 3472406099 |
| Mailing Fax Number | 3472659547 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726435 | Charles Wayne Davis | Pharmacist | 1900 Patterson St Ste 200, Nashville, TN 37203-2167 | 2018-10-17 |
| 1588073175 | Charles R. Davis Jr. | Home Health Aide | 436 E Carpenter Dr, New Carlisle, OH 45344-2529 | 2014-08-07 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1417260936 | Charles A Davis Jr. | Dentist | 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 | 2010-07-26 |
| 1417287160 | Charles F Davis | Physical Therapist | 232 Oleander Ave, Palm Beach, FL 33480-3807 | 2009-12-31 |
| 1548427818 | Charles M Davis Jr. | Pharmacist | 2530 Marilyn St, Pocatello, ID 83201-8022 | 2008-05-22 |
| 1174719033 | Charles Henry Davis | Orthotist | 4859 Shed Rd, Suite 200, Bossier City, LA 71111 | 2007-09-24 |
| 1831306349 | Charles Gentry Davis Jr. | Dentist | 331 De Baliviere Ave, Saint Louis, MO 63112-1803 | 2007-05-16 |
| 1083758536 | Charles William Davis II | Orthopaedic Surgery | 2800 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7366 | 2007-02-17 |
| Street Address |
1211 PUTNAM AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280558 | Katherine Purtle | Speech-Language Pathologist | 995 Lafayette Ave, Garden, Brooklyn, NY 11221 | 2020-03-20 |
| 1528573078 | Magali Cruz-anselme | Registered Nurse | Ebc High School, 1155 Dekalb Ave, Brooklyn, NY 11221 | 2017-12-06 |
| 1972015220 | Faith Nicole Lawrence | Social Worker | 406 Kosciuszko Street, Brooklyn, NY 11221 | 2017-10-26 |
| 1740704311 | Tanisha Williams | Social Worker | 293 Kosciuszko Street, Brooklyn, NY 11221 | 2017-07-26 |
| 1376072504 | Jessica Danielle Rowland | Behavioral Analyst | 706 Quincy Street, Brooklyn, NY 11221 | 2017-06-10 |
| 1396274668 | Kabetha Udayan | Case Manager/Care Coordinator | 163 Van Buren Street, Brooklyn, NY 11221 | 2017-06-08 |
| 1952858581 | Nadia Khalil | Specialist | 111 Living Ton Street, Brooklyn, NY 11221 | 2016-09-01 |
| 1467905240 | Kavena Shell Foxworth | Licensed Practical Nurse | 600 Gates Avenue, Apt 6b, Brooklyn, NY 11221 | 2016-07-28 |
| 1881056919 | Diondra Edmonds | Registered Nurse | 217 Lewis Ave, 4r, Brooklyn, NY 11221 | 2016-03-28 |
| 1871953984 | Ultimate Care, Inc. | Home Health | 1000 Gates Ave, 4th Floor, Brooklyn, NY 11221 | 2016-03-02 |
| Find all providers in zip 11221 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1164021705 | Valesta Judy Lynch | Counselor | 1660 E New York Ave Unit 211, Brooklyn, NY 11212-8016 | 2020-10-24 |
| 1184231649 | Yehoshua Yehuda Tabi | Counselor | 1975 52nd St, Brooklyn, NY 11204-1726 | 2020-09-29 |
| 1023625977 | Caitlin Armstrong | Counselor | 57 7th Ave, Brooklyn, NY 11217-1462 | 2020-09-24 |
| 1073129805 | Madison Liddle | Counselor | 371 Humboldt St Apt 208, Brooklyn, NY 11211-2988 | 2020-09-17 |
| 1235744509 | Elizabeth Daiello | Counselor | 208 Bay 44th St, Brooklyn, NY 11214-6742 | 2020-09-13 |
| 1811502503 | Melanie Nicole Cooke | Counselor | 629 Sterling Pl Apt 3r, Brooklyn, NY 11238-4820 | 2020-09-10 |
| 1376158139 | Gail Herskowitz | Counselor | 1170 Ocean Pkwy Apt 10g, Brooklyn, NY 11230-4044 | 2020-09-09 |
| 1154932671 | Anicka Hamilton | Counselor | 208 Washington Park, Brooklyn, NY 11205-4057 | 2020-08-10 |
| 1083224018 | Sophie Angelique Desnoyers | Counselor | 2 Saint Nicholas Ave # 3120, Brooklyn, NY 11237-2337 | 2020-08-04 |
| Find all providers in BROOKLYN | ||||
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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.