DR. KIMBERLY SPANJOL (NPI# 1619382389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619382389 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY SPANJOL |
| Credential | PH.D., BCBA-D, LMHC |
| Practice Address |
300 W 145th St 7c New York NY 10039-3142 |
| Practice Telephone | 9175366728 |
| Mailing Telephone | 9175366728 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
005431 | NY | Behavioral Health & Social Service Providers |
| Street Address |
300 W 145TH ST 7C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10039-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326145194 | Pathmark Stores Inc | Pharmacy | 300 W 145th St, New York, NY 10039-3142 | 2006-09-20 |
| 1629501879 | Amantine Roberts | Registered Nurse | 300 W 145th St, New York, NY 10039-3142 | 2017-04-05 |
| 1598210106 | James Stephen | Pharmacist | 300 W 145th St, New York, NY 10039-3142 | 2016-08-24 |
| 1154792125 | 145th St Pharmacy Inc. | Pharmacy | 300 W 145th St, New York, NY 10039-3142 | 2015-10-15 |
| 1801231253 | Wilman Antonio Navarreto | Nurse Practitioner | 300 W 145th St, Th 5, New York, NY 10039-3142 | 2013-04-29 |
| 1114184751 | Martha Stella Ciccone | Pharmacist | 300 W 145th St, New York, NY 10039-3142 | 2008-05-21 |
| 1760654412 | Leonard Eugene Amore | Pharmacist | 300 W 145th St, New York, NY 10039-3142 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280117 | Princess Nailah Blackwell | Licensed Practical Nurse | 2844 Fredrick Douglas Blvd, Apt# 5c, New York, NY 10039 | 2020-09-21 |
| 1265927701 | Samara L Pelt | Behavioral Analyst | 700 Lenox Ave Apt 6e, New York, NY 10039 | 2018-06-27 |
| 1245774827 | Celeste Elena Simpson | Speech-Language Pathologist | 2589 Seventh Ave, P.s. 200 The James Mccune Smith School, New York, NY 10039 | 2016-12-15 |
| 1902268840 | Rangel Pharmacy Inc | Pharmacy | 159 12 Harlem River Dr, New York, NY 10039 | 2016-03-21 |
| 1407212319 | Daphney Nicolas | Early Intervention Provider Agency | 271 West 146 Street Apt #9, New York, NY 10039 | 2016-01-07 |
| 1598152555 | Elizabeth Dorcena-jeune | Physician Assistant | 2698 Fredrick Douglass Boulevard, New York, NY 10039 | 2015-04-16 |
| 1083021133 | Andrea Kermack | Internal Medicine | 804 E 138th, Bronx, NY 10039 | 2014-07-21 |
| 1528335577 | Carlos Rafael Rodriguez | Internal Medicine | 2771 Frederick Douglass, New York, NY 10039 | 2011-11-18 |
| 1548578305 | Gspm Pharmacy Inc | Pharmacy | 2830 8th Ave, Pharmacy, New York, NY 10039 | 2010-09-15 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
| Find all providers in zip 10039 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1801496237 | Vivian Martinez | Counselor | 200 W 108th St Apt 3f, New York, NY 10025-2947 | 2020-10-26 |
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1083213144 | Isaiah David Putman | Counselor | 236 W 64th St Apt 2h, New York, NY 10023-6433 | 2020-10-20 |
| 1790383826 | Iris M Canales | Counselor | Gusatave L Levy Place, Mount Sinai Hospital, New York, NY 10029-6574 | 2020-10-12 |
| 1508463860 | Marley S Moreira-rivera | Counselor | 2578 Broadway # 507, New York, NY 10025-5642 | 2020-10-08 |
| 1629675194 | Colombage Asha De Costa | Counselor | 106 Fort Washington Ave Apt 3k, New York, NY 10032-4723 | 2020-10-07 |
| 1497352603 | Arlene Pineda | Counselor | 303 5th Ave Fl 14, New York, NY 10016-6601 | 2020-10-01 |
| 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.