DR. JEREMY HUSTON COLLEY (NPI# 1902943129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902943129 |
| Entity Type | Individual |
| Full Name | DR. JEREMY HUSTON COLLEY |
| Credential | M.D. |
| Practice Address |
841 Broadway Suite 302 New York NY 10003-4704 |
| Practice Telephone | 8885449215 |
| Practice Fax Number | 2126772285 |
| Mailing Telephone | 8885449215 |
| Mailing Fax Number | 2126772285 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
230854 | NY | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
230854 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
841 BROADWAY SUITE 302 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234368 | James J Doherty | Social Worker | 841 Broadway, New York, NY 10003 | 2006-10-04 |
| 1508266909 | Milagros Sanchez-nester | Social Worker | 841 Broadway, 302, New York, NY 10003-4704 | 2014-09-04 |
| 1326454117 | Patricia Hunter Psy D Pllc | Psychologist | 841 Broadway, Suite 302, New York, NY 10003-4704 | 2014-07-01 |
| 1447544093 | Navin Dargani | Psychiatry & Neurology | 841 Broadway, Suite 302, New York, NY 10003 | 2011-05-31 |
| 1396035366 | Arien Muzacz | Counselor | 841 Broadway, Suite 302, Office 5, New York, NY 10003-4704 | 2011-04-12 |
| 1013210723 | Laurel Bess Steinberg | Counselor | 841 Broadway, Suite 302, New York, NY 10003-4704 | 2010-12-20 |
| 1225344062 | Karen Feldman | Social Worker | 841 Broadway, Suite 302, New York, NY 10003-4704 | 2010-08-30 |
| 1851615934 | Nicole Urban | Counselor | 841 Broadway, Suite 302, Office 5, New York, NY 10003-4704 | 2010-03-18 |
| 1881924405 | Laurie Susan Bernstein | Counselor | 841 Broadway, Suite 302, New York, NY 10003-4704 | 2010-01-04 |
| 1679730030 | Genevieve Yuen | Psychiatry & Neurology | 841 Broadway, Suite 302, #7, New York, NY 10003-4704 | 2008-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
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| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275840878 | Suchet Srivamsi Suryadevara Rao | Psychiatry & Neurology | 432 W 52nd St, New York, NY 10019-7651 | 2010-09-03 |
| 1710170352 | Ziv Ezra Cohen | Psychiatry & Neurology | 200 W 57th St Ste 304, New York, NY 10019-3262 | 2007-08-27 |
| 1265657092 | James Whitney Hicks | Psychiatry & Neurology | Kirby Forensic P.C., Wards Island Complex, New York, NY 10035-6095 | 2007-04-16 |
| 1720130867 | L. Paul Antoine Sanon | Psychiatry & Neurology | 211 Central Park W Ste 1k, New York, NY 10024-6020 | 2007-01-17 |
| 1053460550 | Li-wen Grace Lee | Psychiatry & Neurology | First Ave and 27th St, Bellevue Hospital, Suite 19w33, New York, NY 10016 | 2007-01-10 |
| 1982761888 | Zebulon Charles Taintor | Psychiatry & Neurology | 19 E 93rd St, New York, NY 10128-1928 | 2007-01-02 |
| 1598845356 | Richard Bohn Krueger | Psychiatry & Neurology | 210 East 68th Street, Suite 1h, New York, NY 10021-6024 | 2006-10-16 |
| 1336131432 | Eric David Goldsmith | Psychiatry & Neurology | 420 Madison Ave, Suite 801, New York, NY 10017-1107 | 2005-08-16 |
| 1720312317 | Jonathan Weiss | Psychiatry & Neurology | 31 W 9th St, Garden Lvl Ste 1, New York, NY 10011-9206 | 2009-09-29 |
| 1801129713 | Merle S Robinson | Psychiatry & Neurology | 210 E 15th St, 11e, New York, NY 10003-3922 | 2009-09-09 |
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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.