MR. RODNEY REYES (NPI# 1407242191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407242191 |
| Entity Type | Individual |
| Full Name | MR. RODNEY REYES |
| Credential | CASAC-T |
| Practice Address |
121 W 111th St New York NY 10026-4207 |
| Practice Telephone | 2126784990 |
| Practice Fax Number | 2126651798 |
| Mailing Telephone | 2126784990 |
| Mailing Fax Number | 2126651798 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 28646 | NY | Residential Treatment Facilities |
| Street Address |
121 W 111TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417496795 | Steven Taylor | Substance Abuse Rehabilitation Facility | 121 W 111th St, New York, NY 10026-4207 | 2017-02-20 |
| 1780123448 | William Rodriguez | Substance Abuse Rehabilitation Facility | 121 W 111th St, New York, NY 10026-4207 | 2017-02-14 |
| 1285171439 | Janet Camacho | Counselor | 121 W 111th St, New York, NY 10026-4207 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
| 1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
| 1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
| 1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
| 1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
| 1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
| 1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| Find all providers in zip 10026 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1174069264 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 327 W 43rd St, New York, NY 10036-6406 | 2017-01-12 |
| 1730623489 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 202-204 Edgecombe Avenue, New York, NY 10030-1102 | 2016-12-15 |
| 1912376062 | Addicts Rehabilitation Center Fund Inc. | Substance Abuse Rehabilitation Facility | 1881 Park Avenue, New York, NY 10035 | 2015-09-18 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| 1316350788 | Esperanza | Substance Abuse Rehabilitation Facility | 170 E 107th St, New York, NY 10029-3905 | 2014-06-03 |
| 1386071520 | Project Renewal | Substance Abuse Rehabilitation Facility | 8 East 3rd St, New York, NY 10003 | 2013-10-02 |
| 1952736456 | Central Harlem Sobering Up Station, Inc | Substance Abuse Rehabilitation Facility | 419 W 126th St, New York, NY 10027-2504 | 2013-09-04 |
| 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.