MARIE BEAUREGARD-WEISS, LCSW,PC


Address: 139 Ardsley St, Staten Island, NY 10306-1611
Phone: 9174700284

MARIE BEAUREGARD-WEISS, LCSW,PC (NPI# 1891186029) 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) 1891186029
Entity Type Organization
Organization Name MARIE BEAUREGARD-WEISS, LCSW,PC
Practice Address 139 Ardsley St
Staten Island
NY 10306-1611
Practice Telephone 9174700284
Practice Fax Number 1783514786
Mailing Telephone 9174700284
Mailing Fax Number 1783514786
Enumeration Date 2015-02-10
Last Update Date 2015-02-10
Authorized Official Name MS. MARIE CHRISTINE BEAUREGARD-WEISS (PRESIDENT)
Authorized Official Telephone 9174700284
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
R050794 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02455636 05

Office Location

Street Address 139 ARDSLEY ST
City STATEN ISLAND
State NY
Zip Code 10306-1611

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1710252127 Dr. Donald R Lee-edwards Ph.d, Lp Clinic/Center 255 Gordon St, Staten Island, NY 10304-1943 2012-03-19
1326602665 Tree of Life Mental Health Counseling Pllc Clinic/Center 2291 Victory Blvd, Staten Island, NY 10314-6625 2019-04-23
1629593892 Antoinette Cavalenes Joyce Clinic/Center 290 Garretson Ave, Staten Island, NY 10305-1236 2017-08-09
1447664388 Project Hospitality Inc. Clinic/Center 14 Slosson Ter, Staten Island, NY 10301-2507 2014-06-18

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1700499381 Tabitha Gonzalez Licensed Mental Health Counseling Pllc Clinic/Center 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 2020-08-25
1639791924 Sanctuary Aso LLC Clinic/Center 57 W 57th St Ste 1101, New York, NY 10019-2814 2020-05-11
1740810282 Therapeutic Solutions Ltd Clinic/Center 42 Main St Ste 201, Nyack, NY 10960-3204 2020-01-23
1548802770 Christopher Bandini, Inc Clinic/Center 303 5th Ave Rm 1703, New York, NY 10016-6641 2019-10-09
1386290856 Discovery Mental Health Counseling Clinic/Center 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 2019-08-12
1407418379 Housing Works Services, Inc. Clinic/Center 743- East 9th Street, Omh Department, New York, NY 10009 2019-07-01
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Competitor

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City STATEN ISLAND
Zip Code 10306

Improve Information

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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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