MR. KENRICK SINCLAIR HAWTHORNE JR. (NPI# 1447806005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447806005 |
Entity Type | Individual |
Full Name | MR. KENRICK SINCLAIR HAWTHORNE JR. |
Credential | ADVANCED CASAC |
Practice Address |
1064 Franklin Ave Bronx NY 10456-6704 |
Mailing Address |
311 E 175th St Bronx NY 10457-5848 |
Practice Telephone | 7187641551 |
Practice Fax Number | 7187641583 |
Mailing Telephone | 7187641551 |
Mailing Fax Number | 7187641583 |
Enumeration Date | 2019-08-09 |
Last Update Date | 2020-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
25248 | NY | Behavioral Health & Social Service Providers |
Street Address |
1064 FRANKLIN AVE |
City | BRONX |
State | NY |
Zip Code | 10456-6704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659393510 | Grace Nwakaego Onovo | Family Medicine | 1064 Franklin Ave, Basics Ambulatory Clinic, Bronx, NY 10456 | 2006-07-23 |
1235740614 | Wilfredo Acevedo | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2020-08-11 |
1275187783 | Susan John | Rehabilitation Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2019-08-01 |
1417501925 | Shanna Hinds | Rehabilitation Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2019-08-01 |
1215405204 | Charles Brown | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
1487122560 | Jesse Martin | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
1982172961 | Yenia Vasquez | Social Worker | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
1053889139 | Maria Palmer | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
1578031563 | Nicole Hornbuckle | Licensed Practical Nurse | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
1457829434 | Claudio Do Santos | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
Find all providers in zip 10456 |
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.