ALICIA GREEN (NPI# 1669759130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669759130 |
| Entity Type | Individual |
| Full Name | ALICIA GREEN |
| Practice Address |
5050 Iselin Ave Bronx NY 10471-2915 |
| Mailing Address |
20 Rollins St Apt 2e Yonkers NY 10705-4362 |
| Practice Telephone | 7185496700 |
| Mailing Telephone | 7184507716 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515253 | Alicia Green | Massage Therapist | 371 Franklin St, Melrose, MA 02176-1854 | 2019-02-28 |
| 1679050132 | Alicia Faye Green | Nurse Practitioner | 908 Bella Vista Dr, Jackson, MO 63755-7863 | 2018-07-26 |
| 1174076574 | Alicia Green | Physical Therapist | 2531 Eagles Nest Ct, Midlothian, TX 76065-4707 | 2016-08-02 |
| 1518250158 | Alicia Adele Green | Licensed Practical Nurse | 127 N Columbus Ave, Ph, Mount Vernon, NY 10553-1129 | 2011-05-16 |
| 1396344578 | Alicia Marie Green | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-20 |
| 1619388915 | Alicia Green | Counselor | 151 S University Ave, Suite 3200, Provo, UT 84601-4427 | 2014-05-08 |
| 1588900120 | Alicia J Green | Pharmacist | 19631 W Catawba Ave, Cornelius, NC 28031-4002 | 2013-01-01 |
| 1285706325 | Alicia Dawn Green | Physical Therapist | 2118 W Garland Ave, Spokane, WA 99205-2526 | 2006-11-14 |
| Street Address |
5050 ISELIN AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10471-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378184 | Giulia Ferrero | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-08-25 |
| 1023636438 | Jennifer Brungardt | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-07-13 |
| 1194341867 | Benjamin Kofi Dadzie | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-06-18 |
| 1962038448 | Ashley Madera | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-03-17 |
| 1073147492 | Sharon Greenaway | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-02-25 |
| 1205475472 | William David George II | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2020-01-05 |
| 1790336386 | Paula Pitterson-punch | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2019-09-25 |
| 1124677703 | Tyena Smith | Social Worker | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2019-09-06 |
| 1568015162 | Benjamin Brobbey | Registered Nurse | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2019-07-23 |
| 1144702812 | Luz Adilene Espinoza Reyes | Student in an Organized Health Care Education/Training Program | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2018-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1124579529 | Joselyne Bararwandika | Registered Nurse | 385 W 263rd St, Bronx, NY 10471 | 2016-10-20 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1720443047 | The Hebrew Home for The Aged At Riverdale | Clinic/Center | 5901 Palisade Avenue, Riverdale, NY 10471 | 2015-12-31 |
| 1073989570 | Laura Maria Luciano | Social Worker | 5676 Riverdale Ave Suite 202, Riverdale Mental Health Association, Bronx, NY 10471 | 2015-08-19 |
| 1043607419 | Bianca Rodriguez | Social Worker | 6211 Broadway, 5h, Bronx, NY 10471 | 2015-04-23 |
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1891186045 | Maria Caceres | Radiologic Technologist | 216 Foster Pl, Bronx, NY 10471 | 2015-02-10 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1699101824 | Jaeyong Choi | Registered Nurse | 600 West 246th St., Apt 205, Bronx, NY 10471 | 2013-09-19 |
| Find all providers in zip 10471 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417370800 | Talya Kook | Residential Treatment Facility, Emotionally Disturbed Children | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2014-01-21 |
| 1962779793 | Dexter Clarke | Residential Treatment Facility, Emotionally Disturbed Children | 5050 Iselin Ave, Bronx, NY 10471-2915 | 2011-11-22 |
| 1114147204 | New York Institute for Special Education | Residential Treatment Facility, Emotionally Disturbed Children | 999 Pelham Pkwy N, Bronx, NY 10469-4905 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013360361 | Jesse Brand | Residential Treatment Facility, Emotionally Disturbed Children | 60 Forrest Ave, Shirley, NY 11967-1955 | 2016-07-21 |
| 1285040600 | Sean Bedford | Residential Treatment Facility, Emotionally Disturbed Children | 7 Scarlett Ct, Apt 16, New City, NY 10956-5030 | 2014-07-07 |
| 1336575703 | Education Plus Corp | Residential Treatment Facility, Emotionally Disturbed Children | 431 Chapel Hill Rd, Hancock, NY 13783-2248 | 2013-09-17 |
| 1578905212 | Jewish Child Care Association | Residential Treatment Facility, Emotionally Disturbed Children | 671 Osborn St, Brooklyn, NY 11212-5745 | 2013-07-23 |
| 1538419973 | Scott Fierman Services | Residential Treatment Facility, Emotionally Disturbed Children | 31 Ohayo Mountain Rd, Woodstock, NY 12498-1441 | 2012-09-13 |
| 1821374448 | Takenya Tanyette Benbow | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th Street 6th Floor, Jewish Board of Family and Children Services, New York, NY 10020 | 2011-10-27 |
| 1720377757 | Lidia Kupiec Lmsw | Residential Treatment Facility, Emotionally Disturbed Children | 178 Bradley Rd, Scarsdale, NY 10583-6343 | 2011-03-30 |
| 1912202482 | Adirondack Leadership Expeditions | Residential Treatment Facility, Emotionally Disturbed Children | 82 Church St, Saranac Lake, NY 12983-1858 | 2011-01-14 |
| 1891016192 | Access: Supports for Living Inc | Residential Treatment Facility, Emotionally Disturbed Children | 87 Little Britain Rd, Newburgh, NY 12550-5113 | 2010-06-21 |
| 1356675151 | Ohel Childrens Home & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1498 E 34 St, Brooklyn, NY 11234 | 2009-09-25 |
| Find all providers with the same taxonomy | ||||
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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.