JACQUELINE M JAQUEZ (NPI# 1427676246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427676246 |
| Entity Type | Individual |
| Full Name | JACQUELINE M JAQUEZ |
| Credential | CASAC-T |
| Practice Address |
770 E 176th St Bronx NY 10460-4617 |
| Practice Telephone | 7185835150 |
| Mailing Telephone | 7185835150 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
36299 | NY | Behavioral Health & Social Service Providers |
| Street Address |
770 E 176TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10460-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851757272 | Vocational Instruction Project Community Services Inc | Health Maintenance Organization | 770 E 176th St, Bronx, NY 10460-4617 | 2016-01-14 |
| 1407396302 | Vocational Instruction Project Community Services Inc | Community/Behavioral Health | 770 E 176th St, Bronx, NY 10460-4617 | 2017-02-27 |
| 1699136622 | Vocational Instruction Project Community Services, Inc | Community/Behavioral Health | 770 E 176th St, Bronx, NY 10460-4617 | 2016-03-18 |
| 1437517786 | Vocational Instruction Project Community Services Inc | Community/Behavioral Health | 770 E 176th St, Bronx, NY 10460-4617 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488044 | Alyssa Lopez | Occupational Therapy Assistant | 1909 Longfellow Ave, Bronx, NY 10460 | 2019-10-15 |
| 1730743287 | Kailey Brianne Sabel | Occupational Therapist | 1899 Longfellow Avenue, Bronx, NY 10460 | 2019-04-30 |
| 1386208585 | Audrey Lachapelle | Dentist | 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 | 2019-04-24 |
| 1174093041 | Temika Codrington | Registered Nurse | 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 | 2018-12-04 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1316440969 | Lcm Livery Pu Inc | Taxi | 1466 Beach Ave 12a, Bronx, NY 10460 | 2018-03-09 |
| 1104348051 | Vivianet De La Cruz | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460 | 2017-07-12 |
| 1932631801 | Alquimedez Mental Health Counseling, Pllc | Counselor | 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 | 2017-03-30 |
| 1013463652 | Angelica Beato | Nurse Practitioner | 1154 East Tremont Avenue, Bronx, NY 10460 | 2016-09-01 |
| 1114396827 | Wendy I Valdez | Social Worker | 901 East 172nd St., 3rd Floor, Bronx, NY 10460 | 2015-09-23 |
| Find all providers in zip 10460 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1013528512 | Koly J. Guilavogui | Counselor | 770 E 176th St Ste 315, Bronx, NY 10460-4617 | 2020-08-10 |
| 1881218063 | Courtney Follweiler | Counselor | 609 Kappock St Apt 5c, Bronx, NY 10463-7777 | 2020-06-03 |
| 1053953430 | Juventino Diez | Counselor | 165 Mermaid Ln, Bronx, NY 10473-2499 | 2019-10-17 |
| 1154983336 | David Matthew Logan | Counselor | 1175 Grand Concourse Fl 8, Bronx, NY 10452-8549 | 2019-07-08 |
| 1801374038 | Cheryl Edmond | Counselor | 1523 Jarvis Ave, Bronx, NY 10461-5604 | 2018-07-31 |
| 1437662855 | Marion L Ogunusi | Counselor | 1910 Arthur Ave Fl 4, Bronx, NY 10457-6305 | 2017-11-07 |
| 1790203818 | Naimah Nazirah Singleton | Counselor | 480 E 188th St Apt 6a, Bronx, NY 10458-5823 | 2017-09-08 |
| 1619494705 | Joshua Barnes | Counselor | 1910 Arthur Ave Fl 7, Bronx, NY 10457-6305 | 2017-08-29 |
| Find all providers in BRONX | ||||
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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.