JAID BARRYMORE


Address: 51 E 25th St Lowr Level, New York, NY 10010-2945
Phone: 3235531782

JAID BARRYMORE (NPI# 1770065054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770065054
Entity Type Individual
Full Name JAID BARRYMORE
Credential LMHC
Practice Address 51 E 25th St Lowr Level
New York
NY 10010-2945
Mailing Address 12 E 22nd St Apt 8e
New York
NY 10010-6112
Practice Telephone 3235531782
Mailing Telephone 6463698984
Enumeration Date 2018-09-03
Last Update Date 2018-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
008818 NY Behavioral Health & Social Service Providers

Office Location

Street Address 51 E 25TH ST LOWR LEVEL
City NEW YORK
State NY
Zip Code 10010-2945

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

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.

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