RADIANT SELF THERAPY LLC (NPI# 1902441504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902441504 |
| Entity Type | Organization |
| Organization Name | RADIANT SELF THERAPY LLC |
| Practice Address |
68 Hausman St Apt 3 Brooklyn NY 11222-7111 |
| Practice Telephone | 8608100371 |
| Mailing Telephone | 8608100371 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | KATHERINE VOLLONO (OWNER) |
| Authorized Official Telephone | 8608100371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Radiant Self Therapy LLC | 68 Hausman Street, Apt 3, Brooklyn, NY 11222 |
| Street Address |
68 HAUSMAN ST APT 3 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11222-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073153 | Fizza Saeed | Chiropractor | 153 Greenpoint Ave, Brooklyn, NY 11222 | 2018-11-29 |
| 1659819977 | Sylwia Agnieszka Arancibia | Occupational Therapy Assistant | 47 Monitor St, Apt.1, Brooklyn, NY 11222 | 2017-02-07 |
| 1629524467 | Natalya Meykson | Licensed Practical Nurse | 595 Morgan Ave, 2nd Floor, Brooklyn, NY 11222 | 2016-08-31 |
| 1831556539 | Norma Jenkins | Registered Nurse | 131 Norman Avenue, Brooklyn, NY 11222 | 2016-01-26 |
| 1770952046 | Allison Nelson Romero | Counselor | 254 Driggs Ave, 3l, Brooklyn, NY 11222 | 2015-09-17 |
| 1255737821 | Shenell Evans | Psychologist | 231 Norman Ave Ste 212, Brooklyn, NY 11222 | 2014-11-10 |
| 1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
| 1386079895 | Marissa Moore | Counselor | 252 Java St Ste 326, Brooklyn, NY 11222 | 2013-09-04 |
| 1619317401 | Stewart Lee Morales | Health Educator | 198 Calyer St., #1l, Brookklyn, NY 11222 | 2013-06-26 |
| 1871936534 | Reena Thomas | Family Medicine | 833 Manhattan Ave, Brooklyn, NY 11222 | 2013-04-12 |
| Find all providers in zip 11222 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943595 | Maloney Counseling LLC | Community/Behavioral Health | 147 Prince St # 66b, Brooklyn, NY 11201-3022 | 2020-05-08 |
| 1417577545 | Anchor Counseling and Therapy Services | Community/Behavioral Health | 47 Bunny Ln, Brooklyn, CT 06234-3302 | 2020-04-18 |
| 1427681725 | Advancing Avenues Aba LLC | Community/Behavioral Health | 698 4th Ave, Brooklyn, NY 11232-1237 | 2020-02-15 |
| 1093354912 | Edwin Gonzalez | Community/Behavioral Health | 50 Manhattan Ave Apt 4b, Brooklyn, NY 11206-3149 | 2019-12-23 |
| 1760029300 | Cassandra Matukas | Community/Behavioral Health | 1326 Ocean Ave Apt 1h, Brooklyn, NY 11230-3249 | 2019-12-02 |
| 1629620224 | Healthy Family Social Daycare Inc | Community/Behavioral Health | 864 56th St # 1a, Brooklyn, NY 11220-3616 | 2019-07-12 |
| 1821553678 | Allomothering Inc | Community/Behavioral Health | 84 Marion St Apt 1, Brooklyn, NY 11233-2103 | 2019-02-06 |
| 1619495512 | Global Trauma Research Inc. | Community/Behavioral Health | 2329 Nostrand Ave Ste 100, Brooklyn, NY 11210-3949 | 2017-08-31 |
| 1760917603 | Flatbush Treatment Addiction Center | Community/Behavioral Health | 595 Coney Island Ave, 2a, Brooklyn, NY 11218-4374 | 2017-04-28 |
| 1134653470 | Juwana Trisvan | Community/Behavioral Health | 624 Clinton Street, Brooklyn, NY 11231 | 2017-04-13 |
| 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.