NEW SPIRIT II INC (NPI# 1083782015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083782015 |
| Entity Type | Organization |
| Organization Name | NEW SPIRIT II INC |
| Practice Address |
16204 South Rd Jamaica NY 11433-1608 |
| Mailing Address |
11630 Sutphin Blvd Jamaica NY 11434-1527 |
| Practice Telephone | 7182914844 |
| Practice Fax Number | 7182914511 |
| Mailing Telephone | 7187121100 |
| Mailing Fax Number | 7183221881 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | MRS. NANCY BRINN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7187121100 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
081110890 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01778289 | 05 | |
| NY | MEDICARE PTAN | G100050030 | 01 |
| Street Address |
16204 SOUTH RD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11433-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750733960 | Rony Bourdeau | Counselor | 16204 South Rd, Jamaica, NY 11433-1608 | 2016-07-12 |
| 1396100368 | Pamela Fleming | Counselor | 16204 South Rd, Jamaica, NY 11433-1608 | 2015-12-17 |
| 1831569961 | Sonya Ford | Counselor | 16204 South Rd, Jamaica, NY 11433-1608 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849710 | Smana Seradieu | Social Worker | 109 16 176th Street Jamaica, 109 16 176th Street Jamaica, Queens, NY 11433 | 2020-07-30 |
| 1336610716 | Dian Ann Scarlet | Specialist | 89-28 Merrick Blvd, Jamaica, NY 11433 | 2018-12-11 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1346759453 | Cecilia Vellozo | Speech-Language Pathologist | P.s. 48 William Wordsworth School, 10829 155th St, Jamaica, NY 11433 | 2017-09-21 |
| 1942723648 | Cheron Johnson | Behavior Technician | 107-29 172nd Street, Jamaica, NY 11433 | 2017-07-25 |
| 1093237208 | Bal & Dhamija Inc | Pharmacy | 107-45 Guy Brewer Blvd, Jamaica, NY 11433 | 2017-07-10 |
| 1962931311 | Emily Sheppard | Behavioral Analyst | 17326 113 Ave, Jamaica, NY 11433 | 2017-06-08 |
| 1497288310 | Ana Martinez | Licensed Practical Nurse | 176-08 108 Road, Brooklyn, NY 11433 | 2017-04-07 |
| 1336680313 | Shirley Joseph-ross | Psychologist | 109-46 172nd Street, Jamaica, NY 11433 | 2017-03-10 |
| 1346787116 | Jennifer Jenine Griffith | Behavior Technician | 11307 175th St., Jamaica, NY 11433 | 2017-01-31 |
| Find all providers in zip 11433 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073769840 | Carey Eugene Jankiewicz | Clinic/Center | 162-24 Jamaica Ave, 2nd Floor, Jamaica, NY 11432 | 2008-08-13 |
| 1982878757 | Samaritan Daytop Village, Inc. | Clinic/Center | 14401 Jamaica Ave, Jamaica, NY 11435-3601 | 2008-04-14 |
| 1235353442 | Daytop Village, Inc | Clinic/Center | 91-01 Merrick Blvd, Jamaica, NY 11432 | 2007-04-12 |
| 1366561235 | Daytop Village Inc. | Clinic/Center | 91-01 Merrick Blvd., Jamaica, NY 11432-5227 | 2007-03-29 |
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| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
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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.