FLOURISH PSYCHOLOGY, PLLC


Address: 300 Cadman Plz W # 12115, Brooklyn, NY 11201-3229
Phone: 9177379475

FLOURISH PSYCHOLOGY, PLLC (NPI# 1134773559) 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) 1134773559
Entity Type Organization
Organization Name FLOURISH PSYCHOLOGY, PLLC
Other Organization Name DR. SADI FOX
Practice Address 300 Cadman Plz W # 12115
Brooklyn
NY 11201-3229
Mailing Address 521 Saint Marks Ave Apt 5a
Brooklyn
NY 11238-7460
Practice Telephone 9177379475
Mailing Telephone 4409354444
Enumeration Date 2019-07-25
Last Update Date 2020-06-23
Authorized Official Name DR. SADI FOX (OWNER/PSYCHOLOGIST)
Authorized Official Telephone 4409355444
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY NPI 1780114439 01
NY NPI 1154729143 01
NY NPI 1407386998 01

Other Provider/Organization Names

Other Name Type Code
Dr. Sadi Fox Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
25 Court St Ste 1706, Brooklyn, NY 11201 4409355444
521 Saint Marks Ave Apt 5a, Brooklyn, NY 112387460 4409354444

Office Location

Street Address 300 CADMAN PLZ W # 12115
City BROOKLYN
State NY
Zip Code 11201-3229

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1427278548 Brooklyn Psychiatric Centers,inc Clinic/Center 189 Montague Street, Suite 418, Brooklyn, NY 11201 2007-04-30
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Competitor

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City BROOKLYN
Zip Code 11201

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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