DR. CARLI NICOLE PRUITT (NPI# 1053950949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053950949 |
| Entity Type | Individual |
| Full Name | DR. CARLI NICOLE PRUITT |
| Credential | PSY.D. |
| Practice Address |
3512 Quentin Rd Brooklyn NY 11234-4244 |
| Mailing Address |
208 Dairy Rd Berwick PA 18603-5819 |
| Practice Telephone | 8002753242 |
| Mailing Telephone | 5705947053 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS018963 | PA | Behavioral Health & Social Service Providers |
| Street Address |
3512 QUENTIN RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548205784 | United States Memory Check Psychology Services, PC | Social Worker | 3512 Quentin Rd, Suite 140, Brooklyn, NY 11234-4231 | 2006-06-19 |
| 1144821497 | Michael Earl Zwirblia | Psychologist | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2020-11-03 |
| 1285232983 | Rebecca A Mullen | Psychologist | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2020-10-14 |
| 1912526732 | Rashanda Allen | Psychologist | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2020-04-11 |
| 1760041933 | Juliana Helen Aiken | Social Worker | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2019-06-11 |
| 1770140220 | Anahi Teresa Galante | Social Worker | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2019-05-21 |
| 1669038675 | Dana Gottesman | Psychologist | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2019-05-15 |
| 1083279186 | Shena Bishop | Social Worker | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2019-05-03 |
| 1245792001 | Andrea Nicole Eschrich | Psychologist | 3512 Quentin Rd, Brooklyn, NY 11234-4244 | 2019-04-02 |
| 1467910901 | Meghan Downey | Psychologist | 3512 Quentin Rd, Brooklyn, NY 11234 | 2019-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1780295790 | Jiyoon Lee | Psychologist | 6 Metrotech Ctr # B020, Brooklyn, NY 11201-3840 | 2020-08-12 |
| 1912517608 | Hannah Wertz | Psychologist | 485 7th Ave Apt 3, Brooklyn, NY 11215-5545 | 2020-08-06 |
| 1023636271 | Jenny Wallier | Psychologist | 75 80th St, Brooklyn, NY 11209-3511 | 2020-07-13 |
| 1669096632 | Gaurang Choksi | Psychologist | 44 Meserole St Apt 401, Brooklyn, NY 11206-1996 | 2020-06-04 |
| 1164057436 | Clear Reflections Psychotherapy Pllc | Psychologist | 225 S Main St Ste C, Brooklyn, MI 49230-9158 | 2020-03-07 |
| 1306482021 | Sara Teta | Psychologist | 436 Court Street # 7, Brooklyn, NY 11231 | 2019-11-19 |
| 1346895125 | Margo Kahn | Psychologist | 1326 38th St, Brooklyn, NY 11218-3612 | 2019-08-07 |
| 1134773559 | Flourish Psychology, Pllc | Psychologist | 300 Cadman Plz W # 12115, Brooklyn, NY 11201-3229 | 2019-07-25 |
| 1598328007 | Scott Lyons | Psychologist | 380 Butler St Apt 3, Brooklyn, NY 11217-3103 | 2019-04-19 |
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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.