MR. ROGER WILCOX (NPI# 1376727990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376727990 |
| Entity Type | Individual |
| Full Name | MR. ROGER WILCOX |
| Credential | CASAC |
| Practice Address |
202 Flatbush Ave Brooklyn NY 11217-2177 |
| Practice Telephone | 7183980800 |
| Mailing Telephone | 7183980800 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1285874313 | Roger Lowell Wilcox Jr. | Nurse Anesthetist, Certified Registered | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2009-03-03 |
| Street Address |
202 FLATBUSH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760682132 | Donald L Haynes | Counselor | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2007-07-23 |
| 1710251137 | Sara Beth Waters | Counselor | 202 Flatbush Ave, Brooklyn, NY 11217-5222 | 2012-03-02 |
| 1336419605 | Joseph Hayes | Behavioral Analyst | 202 Flatbush Ave, Brooklyn, NY 11217-5222 | 2012-01-04 |
| 1114224714 | Mary Ann Crymes | Registered Nurse | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2011-02-16 |
| 1104120336 | Shanequa Sheila Anderson | Social Worker | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2011-01-03 |
| 1104137744 | Evan Drake Baker | Counselor | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2010-06-29 |
| 1730490780 | Melanie L Brown | Counselor | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2010-06-24 |
| 1235364787 | Sayidah Y Abdul-mumin | Registered Nurse | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2009-05-27 |
| 1073787149 | Rasheen James Davis | Counselor | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2008-04-18 |
| 1184808578 | Jeffrey K Lewis | Counselor | 202 Flatbush Ave, Brooklyn, NY 11217-2177 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1790254084 | Jessica Levy | Social Worker | 2-4 Nevins St., Brooklyn, NY 11217 | 2018-11-16 |
| 1700353638 | Karen Gibbons | Art Therapist | 280 Nevins St., Brooklyn, NY 11217 | 2018-10-29 |
| 1396227740 | Tanvi Dodia Acupuncture Pllc | Acupuncturist | 694 Sackett Street Apt 2, Brooklyn, NY 11217 | 2018-09-02 |
| 1437680873 | Cynthia Cater | Licensed Practical Nurse | 30 3rd Avenue Apt. 847, Brooklyn, NY 11217 | 2017-03-27 |
| 1427596857 | Edg Dental PC | Dentist | 31 Eighth Avenue,suite #1, Brooklyn, NY 11217 | 2017-02-06 |
| 1437506284 | Alternative Optometry for Vision Development P.C. | Optometrist | 40 8th Avenue, Brooklyn, NY 11217 | 2016-05-23 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1831579341 | Christine Lynn Viner | Student in an Organized Health Care Education/Training Program | 63a 7th Ave, Brooklyn, NY 11217 | 2015-06-01 |
| Find all providers in zip 11217 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| 1386251304 | Sylvia Ann Ford-williams | Counselor | 100 N Portland Ave Rm B214, Brooklyn, NY 11205-2005 | 2020-09-24 |
| 1295349124 | Joanne Garcia | Counselor | 545 Hegeman Ave, Brooklyn, NY 11207-7017 | 2020-09-08 |
| 1467061622 | Karin Kemp | Counselor | 584 E 29th St Apt 3c, Brooklyn, NY 11210-1427 | 2020-07-23 |
| 1942828553 | Jorge Luis Delgado | Counselor | 3178 Bayview Ave Apt 6b, Brooklyn, NY 11224-1838 | 2020-07-09 |
| 1861018137 | Javier Duran | Counselor | 800 Poly Pl Apt 2, Brooklyn, NY 11209-7104 | 2020-06-22 |
| 1336783331 | Alemash Asfaw | Counselor | 175 Remsen St Ste 9, Brooklyn, NY 11201-4333 | 2019-11-01 |
| 1639739071 | Ciera Dashawn Andrews | Counselor | 2857 Seamon Ave, Brooklyn, MD 21225-1160 | 2019-06-18 |
| 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.