CLINICIANS OF THE DIASPORA, LLC


Address: 203 W 117th St Apt 3e, New York, NY 10026-2139
Phone: 3475094648

CLINICIANS OF THE DIASPORA, LLC (NPI# 1063013191) 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) 1063013191
Entity Type Organization
Organization Name CLINICIANS OF THE DIASPORA, LLC
Practice Address 203 W 117th St Apt 3e
New York
NY 10026-2139
Mailing Address 232 West 116th Street
P.o. Box 1073
New York
NY 10026
Practice Telephone 3475094648
Mailing Telephone 3475094648
Enumeration Date 2020-11-04
Last Update Date 2020-11-04
Authorized Official Name MS. MONICA THOMPSON (C.E.O.)
Authorized Official Telephone 3475094648
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 251S00000X Community/Behavioral Health Agencies

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations CLINICIANS OF THE DIASPORA, LLC 7014 13th Avenue, Suite 202, Brooklyn, Ny 11228

Office Location

Street Address 203 W 117TH ST APT 3E
City NEW YORK
State NY
Zip Code 10026-2139

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NPI Name Taxonomy Address Enumeration
1538704663 Glenda Murdaugh Social Worker 130 Lenox Avenue, Apt. 613, New York, NY 10026 2019-11-13
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1013423391 Herman L Jackson Physical Therapy Assistant Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 2017-12-21
1497264915 Yudith O. Mahon Registered Nurse 110 West 114th Street Apt. 1b, New York, NY 10026 2017-09-27
1124546254 Carmen Raina Abagail Lalonde Psychologist 155 West 72nd Street, Suite 505, Manhattan, NY 10026 2017-09-09
1972053387 Crate Community/Behavioral Health 73 Lenox Avenue, New York, NY 10026 2016-10-10
1770931875 Wendy P Nick Speech-Language Pathologist 240 W 113th St, New York, NY 10026 2016-05-30
1720464209 Barbara D. Leese Social Worker 305 W 118th St, New York, NY 10026 2015-08-06
1982091880 Philip Miller I Counselor 121 West 111th Street, New York, NY 10026 2015-04-20
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
1245845932 Grow Healthcare Group Pa Community/Behavioral Health 2196 3rd Ave # 20071, New York, NY 10035-3501 2020-09-10
1033737895 Grow Care Inc Community/Behavioral Health 141 W 24th St Apt 5, New York, NY 10011-1958 2020-07-08
1275152605 Norma J Alexander Community/Behavioral Health 26 Madison St Apt 8i, New York, NY 10038-1206 2020-04-15
1013546779 Sandra Feist Lcsw, P.C. Community/Behavioral Health 133 W 72nd St Rm 404, New York, NY 10023-3237 2020-04-05
1710517248 Head2sole Care LLC Community/Behavioral Health 700 Columbus Ave Apt 14f, New York, NY 10025-6679 2020-01-23
1689210056 Elana Ester Oppenheim Community/Behavioral Health 336 E 71st St Apt 5e, New York, NY 10021-5221 2019-11-20
1396389565 Recovery Health Solutions Ipa, LLC Community/Behavioral Health 315 W 36th St, New York, NY 10018-6404 2019-10-31
1720636640 By Your Side Services Licensed Applied Behavior Analyst Practice Pllc Community/Behavioral Health 105 W. 86th Street, #228, New York, NY 10024 2019-09-04
1386298081 Daniel Tanh, LLC Community/Behavioral Health Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 2019-07-31
1447811211 United Social Services of The Society for Ethical Culture, Inc. Community/Behavioral Health 2 West 64th St., Room 505, New York, NY 10023 2019-06-24
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Competitor

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City NEW YORK
Zip Code 10026

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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