LILLIAN PARK (NPI# 1255708178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255708178 |
| Entity Type | Individual |
| Full Name | LILLIAN PARK |
| Credential | LMHC, MA, MED |
| Practice Address |
397 Bridge St Brooklyn NY 11201-5292 |
| Mailing Address |
248 W 108th St Room 403a New York NY 10025-2956 |
| Practice Telephone | 3474606834 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2997620 | 05 |
| Street Address |
397 BRIDGE ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326225335 | Mauro S Baiocco | Social Worker | 397 Bridge St, 5th Floor, Brooklyn, NY 11201-5292 | 2008-01-22 |
| 1326688078 | Natalie Ryan | Counselor | 397 Bridge St, Brooklyn, NY 11201-5292 | 2020-01-10 |
| 1063051597 | Marian Elizabeth Miller | Psychologist | 397 Bridge St, Brooklyn, NY 11201-5292 | 2020-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1164021705 | Valesta Judy Lynch | Counselor | 1660 E New York Ave Unit 211, Brooklyn, NY 11212-8016 | 2020-10-24 |
| 1184231649 | Yehoshua Yehuda Tabi | Counselor | 1975 52nd St, Brooklyn, NY 11204-1726 | 2020-09-29 |
| 1023625977 | Caitlin Armstrong | Counselor | 57 7th Ave, Brooklyn, NY 11217-1462 | 2020-09-24 |
| 1073129805 | Madison Liddle | Counselor | 371 Humboldt St Apt 208, Brooklyn, NY 11211-2988 | 2020-09-17 |
| 1235744509 | Elizabeth Daiello | Counselor | 208 Bay 44th St, Brooklyn, NY 11214-6742 | 2020-09-13 |
| 1811502503 | Melanie Nicole Cooke | Counselor | 629 Sterling Pl Apt 3r, Brooklyn, NY 11238-4820 | 2020-09-10 |
| 1376158139 | Gail Herskowitz | Counselor | 1170 Ocean Pkwy Apt 10g, Brooklyn, NY 11230-4044 | 2020-09-09 |
| 1154932671 | Anicka Hamilton | Counselor | 208 Washington Park, Brooklyn, NY 11205-4057 | 2020-08-10 |
| 1083224018 | Sophie Angelique Desnoyers | Counselor | 2 Saint Nicholas Ave # 3120, Brooklyn, NY 11237-2337 | 2020-08-04 |
| 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.