DR. CANDACE JEAN ERICKSON (NPI# 1629139647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629139647 |
| Entity Type | Individual |
| Full Name | DR. CANDACE JEAN ERICKSON |
| Credential | MD |
| Practice Address |
5 W 86th St Suite 9c New York NY 10024-3603 |
| Mailing Address |
315 W 86 St #14b New York NY 10024-3177 |
| Practice Telephone | 2123622260 |
| Practice Fax Number | 2123622260 |
| Mailing Telephone | 2123622260 |
| Mailing Fax Number | 2123622260 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
141409 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0672335 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962567404 | Candace Erickson | Case Manager/Care Coordinator | 1143 Liberty St Ne, Salem, OR 97301-1047 | 2006-12-26 |
| Street Address |
5 W 86TH ST SUITE 9C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821368 | Michelle Kennedy | Social Worker | 5 W 86th St, Suite 1a, New York, NY 10024-3603 | 2006-07-12 |
| 1457884843 | David Rappaport | Social Worker | 5 W 86th St, Suite 1b, New York, NY 10024-3603 | 2017-04-04 |
| 1205235017 | Baptiste Nicolas | Social Worker | 5 W 86th St, Apt 3a, New York, NY 10024-3603 | 2014-08-18 |
| 1104267061 | Michelle Marie Knapp | Nurse Practitioner | 5 W 86th St, Suite 1b, New York, NY 10024-3603 | 2013-07-08 |
| 1841635695 | Sherry D Breslau | Psychologist | 5 W 86th St, 1d, New York, NY 10024-3603 | 2013-05-07 |
| 1659632693 | Martina Maria Stout | Specialist | 5 W 86th St, Apt 3d, New York, NY 10024-3603 | 2012-06-06 |
| 1235423195 | Takashi Matsuki | Psychiatry & Neurology | 5 W 86th St, Suite 1a, New York, NY 10024-3603 | 2011-06-07 |
| 1790925543 | Helen Brown Levine | Psychologist | 5 W 86th St, Suite 6a, New York, NY 10024-3603 | 2009-03-05 |
| 1215117353 | Terry G Blanken | Psychologist | 5 W 86th St, Suite 9c, New York, NY 10024-3603 | 2007-11-06 |
| 1598969495 | Jeremy Ryan Butler | Psychiatry & Neurology | 5 W 86th St, Suite 1a, New York, NY 10024-3603 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295107183 | Spandana Nallapati | Pediatrics | 1510 Lexington Ave Apt 4n, New York, NY 10029-7154 | 2015-10-30 |
| 1275802811 | Icahn School of Medicine At Mount Sinai | Pediatrics | 500 7th Ave Fl 8, New York, NY 10018-4502 | 2011-12-28 |
| 1720103351 | Ann Maurine Packard | Pediatrics | 532 E 87th St, New York, NY 10128-7602 | 2007-03-20 |
| 1437471232 | Evelyn Gruss Lipper | Pediatrics | 505 E 70th St, 3rd Floor, New York, NY 10021-4872 | 2010-02-20 |
| 1851523070 | Jaeah Chung | Pediatrics | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2009-08-21 |
| 1376725382 | Mount Sinai School of Medicine | Pediatrics | 1 Gustave L Levy Pl, Box 1200, New York, NY 10029-6500 | 2007-11-30 |
| 1730384884 | Alison Brett Smoller | Pediatrics | 462 1st Ave, Third Floor, New York, NY 10016-9196 | 2007-06-19 |
| 1891916110 | Alan L Mendelsohn | Pediatrics | 550 1st Ave, Nyu School of Medicine, Dept. of Pediatrics Nbv 8s 4-11, New York, NY 10016-6402 | 2007-05-02 |
| 1053433961 | S Michael Vergara | Pediatrics | 37 W 26th St, New York, NY 10010-1006 | 2007-04-04 |
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|---|---|---|---|---|
| 1336746403 | Four Boroughs Aba | Pediatrics | 1344 E 24th St, Brooklyn, NY 11210-5143 | 2020-10-02 |
| 1447881735 | Jihee Chae | Pediatrics | 60 Wishing Ln, Hicksville, NY 11801-6423 | 2020-01-27 |
| 1235693730 | Sally Joanne Marotta Reed | Pediatrics | 5292 Cambria Rd, Sanborn, NY 14132-9412 | 2019-01-29 |
| 1063982817 | Jessica Elizabeth Sapio | Pediatrics | 125 Currier Ave, Sloan, NY 14212-2222 | 2018-12-04 |
| 1093293037 | Apf Therapeutic Services Inc | Pediatrics | 918 E 218th St Fl 1, Bronx, NY 10469-1006 | 2018-08-01 |
| 1679003552 | Lauren Jennifer Elchonen | Pediatrics | 18 N Cheryl St, Spring Valley, NY 10977-6510 | 2017-06-14 |
| 1770870040 | Aleeya Healey | Pediatrics | 391 Myrtle Ave Ste 3b, Albany, NY 12208-3835 | 2011-07-07 |
| 1205045309 | Bharati R Shah | Pediatrics | 9 Wilbur Rd, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| 1497964589 | Rohitkumar K Shah | Pediatrics | 9 Wilbur Road, Hudson Valley Ddso, Thiells, NY 10984-0470 | 2007-05-22 |
| 1801920392 | Stephen Scott Cowan | Pediatrics | 14 Smith Ave, Mount Kisco, NY 10549-2814 | 2007-03-15 |
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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.