PALLADIA WELLNESS CLINIC (NPI# 1316377534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316377534 |
| Entity Type | Organization |
| Organization Name | PALLADIA WELLNESS CLINIC |
| Practice Address |
2250 3rd Ave New York NY 10035-2208 |
| Mailing Address |
2006 Madison Ave New York NY 10035-1217 |
| Practice Telephone | 2124003230 |
| Practice Fax Number | 2124003231 |
| Mailing Telephone | 2129798800 |
| Mailing Fax Number | 2129790100 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | MR. MARK HURWITZ (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2129798800 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALLADIA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 8898001A | NY | Agencies |
| Street Address |
2250 3RD AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184038184 | Deneisha Thompson | Social Worker | 2250 3rd Ave, New York, NY 10035-2208 | 2014-06-17 |
| 1386056976 | Kevin Lotz | Social Worker | 2250 3rd Ave, New York, NY 10035-2208 | 2014-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1275152605 | Norma J Alexander | Community/Behavioral Health | 26 Madison St Apt 8i, New York, NY 10038-1206 | 2020-04-15 |
| 1013546779 | Sandra Feist Lcsw, P.C. | Community/Behavioral Health | 133 W 72nd St Rm 404, New York, NY 10023-3237 | 2020-04-05 |
| 1710517248 | Head2sole Care LLC | Community/Behavioral Health | 700 Columbus Ave Apt 14f, New York, NY 10025-6679 | 2020-01-23 |
| 1689210056 | Elana Ester Oppenheim | Community/Behavioral Health | 336 E 71st St Apt 5e, New York, NY 10021-5221 | 2019-11-20 |
| 1396389565 | Recovery Health Solutions Ipa, LLC | Community/Behavioral Health | 315 W 36th St, New York, NY 10018-6404 | 2019-10-31 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| Find all providers in NEW YORK | ||||
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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.