DR. JM DA SILVA PSYCHOLOGIST PC


Address: 68 Laight St Apt 7, New York, NY 10013-2049
Phone: 9179035067

DR. JM DA SILVA PSYCHOLOGIST PC (NPI# 1255774766) 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) 1255774766
Entity Type Organization
Organization Name DR. JM DA SILVA PSYCHOLOGIST PC
Other Organization Name DR. JM DA SILVA PSYCHOLOGIST PC
Practice Address 68 Laight St Apt 7
New York
NY 10013-2049
Practice Telephone 9179035067
Practice Fax Number 2122267380
Mailing Telephone 9179035067
Mailing Fax Number 2122267380
Enumeration Date 2013-04-15
Last Update Date 2013-04-15
Authorized Official Name DR. JURACI M. DA SILVA (PSYCHOLOGIST)
Authorized Official Telephone 9179035067
Authorized Official Credential PH.D
Is Organization Subpart Y
Parent Organization Name DR. JM DA SILVA PSYCHOLOGIST PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
018633-1 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY WORKER'S COMPENSATION, NON-FAULT S18633-8W 01

Other Provider/Organization Names

Other Name Type Code
DR. JM DA SILVA PSYCHOLOGIST PC Doing Business As Name - Organization

Office Location

Street Address 68 LAIGHT ST APT 7
City NEW YORK
State NY
Zip Code 10013-2049

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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City NEW YORK
Zip Code 10013

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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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