DR. MICHAEL J PELLEW (NPI# 1891865853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891865853 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J PELLEW |
| Credential | LMFT |
| Practice Address |
5210 Church Ave Brooklyn NY 11203 |
| Mailing Address |
5210 Church Ave Brooklyn NY 11203-3554 |
| Practice Telephone | 7184957111 |
| Mailing Telephone | 7184957111 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 00501 | NY | Behavioral Health & Social Service Providers |
| Street Address |
5210 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412946 | Naveed Ahmad | Internal Medicine | 5210 Church Ave, #1 R, Brooklyn, NY 11203-3554 | 2006-06-07 |
| 1437533585 | Naresea Beswick | Social Worker | 5210 Church Ave, Apt. 2r, Brooklyn, NY 11203-3554 | 2015-07-17 |
| 1780750513 | Caribbean American Psychotherapy | Local Education Agency (LEA) | 5210 Church Ave, Brooklyn, NY 11203-3554 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1043822562 | Marali Holder | Marriage & Family Therapist | 784 Rogers Ave, Brooklyn, NY 11226-3602 | 2020-08-17 |
| 1831714021 | Trisha Seawell | Marriage & Family Therapist | 159 Jackson St Apt 1, Brooklyn, NY 11211-2414 | 2020-06-12 |
| 1356987879 | Nikiesha Kirkpatrick | Marriage & Family Therapist | 247 Prospect Ave Ste 4c, Brooklyn, NY 11215-8403 | 2019-11-19 |
| 1730644923 | Lauren Mclennon | Marriage & Family Therapist | 3360 Shore Pkwy # C-1, Brooklyn, NY 11235-2716 | 2019-02-01 |
| 1073024022 | Claire Hapke | Marriage & Family Therapist | 26 Court St Ste 2302, Brooklyn, NY 11242-1123 | 2017-10-17 |
| 1619428232 | Aricia Lewis | Marriage & Family Therapist | 1047 E 57th St, Brooklyn, NY 11234-2507 | 2016-10-19 |
| 1821446204 | Kim Franka Maria Meijer | Marriage & Family Therapist | 970 Kent Ave, Apt 105, Brooklyn, NY 11205-4474 | 2016-05-26 |
| 1801257829 | Tierra Hollaway | Marriage & Family Therapist | 186 Covert St, Brooklyn, NY 11207-1214 | 2016-03-18 |
| 1508249566 | Think Possible Marriage and Family Therapy | Marriage & Family Therapist | 1720 Nostrand Ave, Brooklyn, NY 11226-6456 | 2015-07-08 |
| Find all providers in BROOKLYN | ||||
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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.