DR. CARLOS ORTIZ REA


Address: 2235 Frederick Douglass Blvd, 7f, New York, NY 10027-6175
Phone: 2126650285

DR. CARLOS ORTIZ REA (NPI# 1992912539) 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) 1992912539
Entity Type Individual
Full Name DR. CARLOS ORTIZ REA
Credential LMHC
Practice Address 2235 Frederick Douglass Blvd
7f
New York
NY 10027-6175
Practice Telephone 2126650285
Practice Fax Number 2126654912
Mailing Telephone 2126650285
Mailing Fax Number 2126654912
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YM0800X Counselor
Specialization: Mental Health
002709 NY Behavioral Health & Social Service Providers
X 101YS0200X Counselor
Specialization: School
NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY MENTAL HEALTH COUNSELOR 002709 01

Office Location

Street Address 2235 FREDERICK DOUGLASS BLVD
7F
City NEW YORK
State NY
Zip Code 10027-6175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699720805 Bernadette Clement Pediatrics 2235 Frederick Douglass Blvd, Harlem Pediatric Associates, New York, NY 10027-6175 2006-05-24
1497365944 Bhavi Shah Physical Therapist 2235 Frederick Douglass Blvd, New York, NY 10027-6175 2020-08-07
1164870325 Vigna Korat Physical Therapist 2235 Frederick Douglass Blvd, New York, NY 10027-6175 2016-05-28
1326231895 Tamara Hawkins Registered Nurse 2235 Frederick Douglass Blvd, New York, NY 10027-6175 2007-08-19

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10027

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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