CARLOS B HEREDIA (NPI# 1225433196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225433196 |
| Entity Type | Individual |
| Full Name | CARLOS B HEREDIA |
| Credential | PH.D. |
| Practice Address |
929 Bushwick Ave Brooklyn NY 11221-3737 |
| Practice Telephone | 7184522944 |
| Mailing Telephone | 7184522944 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
011266 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104873595 | Carlos M Heredia | Family Medicine | 30 Calle Baldorioty, Morovis, PR 00687-3111 | 2006-05-30 |
| Street Address |
929 BUSHWICK AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280558 | Katherine Purtle | Speech-Language Pathologist | 995 Lafayette Ave, Garden, Brooklyn, NY 11221 | 2020-03-20 |
| 1528573078 | Magali Cruz-anselme | Registered Nurse | Ebc High School, 1155 Dekalb Ave, Brooklyn, NY 11221 | 2017-12-06 |
| 1972015220 | Faith Nicole Lawrence | Social Worker | 406 Kosciuszko Street, Brooklyn, NY 11221 | 2017-10-26 |
| 1740704311 | Tanisha Williams | Social Worker | 293 Kosciuszko Street, Brooklyn, NY 11221 | 2017-07-26 |
| 1376072504 | Jessica Danielle Rowland | Behavioral Analyst | 706 Quincy Street, Brooklyn, NY 11221 | 2017-06-10 |
| 1396274668 | Kabetha Udayan | Case Manager/Care Coordinator | 163 Van Buren Street, Brooklyn, NY 11221 | 2017-06-08 |
| 1952858581 | Nadia Khalil | Specialist | 111 Living Ton Street, Brooklyn, NY 11221 | 2016-09-01 |
| 1467905240 | Kavena Shell Foxworth | Licensed Practical Nurse | 600 Gates Avenue, Apt 6b, Brooklyn, NY 11221 | 2016-07-28 |
| 1881056919 | Diondra Edmonds | Registered Nurse | 217 Lewis Ave, 4r, Brooklyn, NY 11221 | 2016-03-28 |
| 1871953984 | Ultimate Care, Inc. | Home Health | 1000 Gates Ave, 4th Floor, Brooklyn, NY 11221 | 2016-03-02 |
| Find all providers in zip 11221 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| 1497361349 | Ira Schwartz | Psychologist | 2350 Ocean Avenue, Apt. Phh, Brooklyn, NY 11229-3030 | 2020-09-16 |
| 1548873516 | James Delrey Grimaldi | Psychologist | 81 77th St, Brooklyn, NY 11209-2920 | 2020-08-28 |
| 1205445855 | Virtue Sankoh | Psychologist | 8 Vanderbilt Ave Apt 12a, Brooklyn, NY 11205-1226 | 2020-07-29 |
| 1053957662 | Rebecca Brodoff | Psychologist | 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702 | 2019-11-19 |
| 1225671985 | Kenji Takeda | Psychologist | 68 35th St Unit 4, Brooklyn, NY 11232-2211 | 2019-10-24 |
| 1497397608 | Heidi Cox | Psychologist | 540 President St Fl 3, Brooklyn, NY 11215-1493 | 2019-10-09 |
| 1801352281 | Philip Jay Bender | Psychologist | 50 Ocean Pkwy Apt 6k, Brooklyn, NY 11218-1539 | 2019-02-11 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| Find all providers in BROOKLYN | ||||
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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.