MS. CHRISTIE MARIE BRULHARDT (NPI# 1417469743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417469743 |
| Entity Type | Individual |
| Full Name | MS. CHRISTIE MARIE BRULHARDT |
| Credential | BA, CASAC-T |
| Practice Address |
50 W Hawthorne Ave Ste 3 Valley Stream NY 11580-6220 |
| Practice Telephone | 5165696600 |
| Practice Fax Number | 5168213470 |
| Mailing Telephone | 5165696600 |
| Mailing Fax Number | 5168213470 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
33613 | NY | Behavioral Health & Social Service Providers |
| Street Address |
50 W HAWTHORNE AVE STE 3 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876848 | Michael Steven Berkowitz | Counselor | 11 Gibson Blvd, Valley Stream, NY 11581-2019 | 2019-08-18 |
| 1033448535 | Michelle Scantlebury | Counselor | 213 Rockaway Ave, Valley Stream, NY 11580-5825 | 2009-12-11 |
| 1598870933 | Sue P. Mintz | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-19 |
| 1972145498 | Loretta Delores Mcmanus | Counselor | 5-11 Pflug Place, Valley Stream, NY 11580 | 2019-10-16 |
| 1124594155 | Monique Yvette Graham | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2018-10-17 |
| 1568947083 | Laura M Roberts | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2018-10-01 |
| 1215456199 | Diba Shaikh | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2017-09-12 |
| 1730629130 | Patricia Denton | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2017-03-03 |
| 1962785592 | Angel D Torres | Counselor | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2011-09-20 |
| 1184866782 | Maureen Saccio | Counselor | 50 W Hawthorne Ave, 3rd Floor, Valley Stream, NY 11580-6223 | 2009-03-27 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on MS. CHRISTIE MARIE BRULHARDT.
| 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.