SHENEA OLIVIA OVERSTREET (NPI# 1942727417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942727417 |
| Entity Type | Individual |
| Full Name | SHENEA OLIVIA OVERSTREET |
| Practice Address |
12811 109th Ave South Ozone Park NY 11420-1601 |
| Practice Telephone | 7187723364 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-06-18 |
| NPI Deactivation Date | 05/21/2019 |
| NPI Reactivation Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
12811 109TH AVE |
| City | SOUTH OZONE PARK |
| State | NY |
| Zip Code | 11420-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652934 | Elijah Roberto Tavarez | Counselor | 10810 Rockaway Blvd, South Ozone Park, NY 11420 | 2020-09-01 |
| 1285247353 | Carlene Evans | Counselor | 109 -18 Rockaway Blvd, Ozone Park, NY 11420 | 2020-08-28 |
| 1558973636 | Alisa Montgomery | Counselor | 108-19 Rockaway Blvd., South Ozone, NY 11420 | 2020-08-19 |
| 1194380451 | Janette Homecare of New York | Registered Nurse | 126-16 111th Avenue, South Ozone Park, NY 11420 | 2019-05-02 |
| 1255994364 | Jasoda Girdhari Ali | Physician Assistant | 132 12 Linden Blvd, South Ozone Park, NY 11420 | 2019-04-16 |
| 1144794553 | Levinia Melaram | Nurse Practitioner | 12234 149th Ave Fl 2, South Ozone Park, NY 11420 | 2019-01-18 |
| 1558848572 | Avinell Shane Abdool | Physician Assistant | 109-42-111th Street, South Ozone Park, NY 11420 | 2018-07-23 |
| 1427556703 | Shari Dimple Mohan | Specialist | 132-52 114 Street, South Ozone Park, NY 11420 | 2018-01-31 |
| 1831625375 | Yes We Can Speech Language Pathologist LLC | Case Management | 111-58 Leffert Blvd, 2f, South Ozone Park, NY 11420 | 2017-05-03 |
| 1992255350 | Community Cardiovascular Services, Pllc | Internal Medicine | 117-44, 122nd Street, South Ozone Park, NY 11420 | 2016-10-10 |
| Find all providers in zip 11420 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
| 1396342002 | Buffalo Guidance Group | Counselor | 475 Ellicott St Ste 105, Buffalo, NY 14203-1531 | 2020-10-06 |
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1528674884 | Bella Avulova | Counselor | 7329 173rd St, Fresh Meadows, NY 11366-1429 | 2020-09-21 |
| 1114545191 | Nicole Byrne-navarro | Counselor | 128 Park Row Ste 1000, Cadyville, NY 12918-2817 | 2020-07-07 |
| 1558993543 | Kalya Castillo | Counselor | 69 Maple St Apt 1, Dobbs Ferry, NY 10522-4114 | 2020-02-07 |
| 1730710112 | Devika Llolanda Vigilance | Counselor | 1228 E 84th St Fl 1, Brooklyn, NY 11236-4912 | 2020-02-04 |
| 1821647652 | Andrew Brook | Counselor | 108 Hollyhock Rd, Levittown, NY 11756-2423 | 2019-09-04 |
| 1881242469 | Vanessa Ramirez | Counselor | 250 W Merrick Rd Apt 1b, Freeport, NY 11520-3311 | 2019-08-28 |
| 1578110938 | Ariana Schiano | Counselor | 89 Ontario Ave, Massapequa, NY 11758-3934 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OZONE PARK |
| Zip Code | 11420 |
Please comment or provide details below to improve the information on SHENEA OLIVIA OVERSTREET.
| 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.