MR. KEVIN ANDERSON HAYNES (NPI# 1295242576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295242576 |
| Entity Type | Individual |
| Full Name | MR. KEVIN ANDERSON HAYNES |
| Credential | MOTR/L |
| Practice Address |
1775 Grand Concourse Bronx NY 10453 |
| Mailing Address |
1775 Grand Concourse Bronx NY 10453-8202 |
| Practice Telephone | 7185793941 |
| Mailing Telephone | 7185793941 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 021363 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 Pond Way, Staten Island, NY 10303 | 9175729702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543974 | Kevin Patrick Haynes Jr. | Student in an Organized Health Care Education/Training Program | 4155 Essen Ln Apt 3, Baton Rouge, LA 70809-2115 | 2020-03-22 |
| 1205043460 | Kevin P Haynes | Dentist | 3301 Sterlington Rd, Monroe, LA 71203-2521 | 2007-05-17 |
| 1467411447 | Kevin Scott Haynes | Internal Medicine | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 | 2006-03-20 |
| Street Address |
1775 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003916545 | Candace Warrick | Physical Therapist | 1775 Grand Concourse, Bronx-lebanon Hosp Ctr. Dept Pm & R, Bronx, NY 10453-8202 | 2006-09-24 |
| 1366066151 | Hyunjung Shin | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2020-06-08 |
| 1730703265 | Obianuju Okeke | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2020-06-01 |
| 1780207993 | Jennifer Suji Kim | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse, Bronxcare Health Systems, Dept of Dentistry, 6th Floor, Bronx, NY 10453 | 2020-05-21 |
| 1427698943 | Jeffery Harper | Counselor | 1775 Grand Concourse, Bronx, NY 10000 | 2020-01-13 |
| 1528606266 | Michael Whitley | Registered Nurse | 1775 Grand Concourse, Pgcmh 8th Fl Nursing, Bronx, NY 10453-8202 | 2019-12-12 |
| 1972148054 | Bert Benjamin | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-11-12 |
| 1881239960 | Evelyn Carranza | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-11-12 |
| 1699310771 | Jamie Danyko | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-11-12 |
| 1508401688 | Jacqueline Green | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172134 | Phyllis Imade | Occupational Therapist | 1168 Forest Ave, Bronx, NY 10456-5462 | 2020-10-25 |
| 1922605617 | Victoria R Fichter | Occupational Therapist | 3377 Agar Pl, Bronx, NY 10465-1367 | 2020-10-06 |
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1659986727 | Carron A Logan | Occupational Therapist | 945 Arnow Ave # 3, Bronx, NY 10469-3905 | 2020-09-15 |
| 1306451729 | Genevieve Leclerc | Occupational Therapist | 1600 Sedgwick Ave Apt 4g, Bronx, NY 10453-6609 | 2020-09-11 |
| 1023626777 | Khudia Fall | Occupational Therapist | 1653 Allerton Ave Fl 2, Bronx, NY 10469-6128 | 2020-07-20 |
| 1811515117 | Jose Manuel Tineo | Occupational Therapist | 1461 Grand Concourse Apt 6a, Bronx, NY 10452-6654 | 2020-07-13 |
| 1073134680 | Nina T Suss | Occupational Therapist | 3777 Independence Ave Apt 3l, Bronx, NY 10463-1412 | 2020-05-05 |
| 1386271120 | Gabriella Levine | Occupational Therapist | 1 Fordham Plz Fl 8, Bronx, NY 10458-5871 | 2020-03-23 |
| 1225665136 | Rachael Kahan | Occupational Therapist | 1 Fordham Plz Fl Doe8, Bronx, NY 10458-5871 | 2020-03-23 |
| Find all providers in BRONX | ||||
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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.