MR. NICHOLAS FREDERICK WILSON (NPI# 1306211792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306211792 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS FREDERICK WILSON |
| Credential | BSW,CASAC |
| Practice Address |
11630 Sutphin Blvd Jamaica NY 11434-1527 |
| Practice Telephone | 7183222500 |
| Practice Fax Number | 7183221881 |
| Mailing Telephone | 7183222500 |
| Mailing Fax Number | 7183221881 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20345 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1427400480 | Nicholas Robert-vincent Wilson | Specialist/Technologist | 513 W 12th St Apt J, Newton, KS 67114-1792 | 2016-07-01 |
| 1962807065 | Nicholas James Wilson | Chiropractor | 450 Mill St Ste 102, Fontana, WI 53125-1242 | 2014-10-31 |
| 1437233103 | Nicholas D Wilson | Physical Therapist | 476 Fortman Dr, Saint Marys, OH 45885-1870 | 2006-10-25 |
| 1518524784 | Nicholas Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-23 |
| 1083177638 | Nicholas Robert Wilson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2019-04-10 |
| 1144781568 | Nicholas Anthony Wilson | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2019-03-28 |
| 1902371222 | Nicholas Howard Wilson | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2018-10-12 |
| 1942694922 | Nicholas Wilson | Radiology | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2015-03-26 |
| 1902225766 | Nicholas Burton Wilson | Orthopaedic Surgery | 5320 W Markham St, Little Rock, AR 72205-3528 | 2014-04-09 |
| Street Address |
11630 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306998257 | Rukhsana Rasheed | Internal Medicine | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2007-01-18 |
| 1003478496 | Megan Gellman | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2019-07-05 |
| 1760040604 | Jinnette Gallo | Licensed Practical Nurse | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2019-06-05 |
| 1457919268 | Cherisse Olivia Bluestein | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2019-06-05 |
| 1982262994 | Beriza Milagros Luciano | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2019-06-04 |
| 1184282527 | Robert John Tolento | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2019-05-31 |
| 1477111763 | Rodney Sprauve Robinson | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2019-05-31 |
| 1831680180 | Lynwood Pernell Murphy | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2018-05-22 |
| 1609374511 | Scott Vincent Finkelstein | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2018-01-25 |
| 1255859096 | Kenneth Pfeiffer | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329732 | Debra Lynn West | Counselor | 16318 Jamaica Ave Ste 5, Jamaica, NY 11432-4901 | 2019-04-23 |
| 1265096408 | Tiffany Monique Hines | Counselor | 16318 Jamaica Ave Ste 501, Jamaica, NY 11432-4919 | 2019-04-23 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1912426594 | Curtis Evans | Counselor | 17520 Hillside Ave Ste 2, Jamaica, NY 11432-5732 | 2017-09-14 |
| 1851811509 | Donna Pickersgill-brown | Counselor | 17020 130th Ave Apt 6a, Jamaica, NY 11434-3226 | 2017-06-23 |
| 1003336074 | Marie Elizabeth Manley | Counselor | 16204 Tuskegee Airmen Way, Jamaica, NY 11433-1608 | 2017-06-21 |
| 1689123796 | Colin Kowlessar | Counselor | 17732 129th Ave, Jamaica, NY 11434-5822 | 2016-09-30 |
| 1356714141 | Mervin Rhymes | Counselor | 11630 Sutphin Blvd., Jamaica, NY 11434 | 2015-11-03 |
| 1720332067 | Shola Thompson | Counselor | 10704 Guy R Brewer Blvd, Suite 7c, Jamaica, NY 11433-2380 | 2012-11-08 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| Find all providers in JAMAICA | ||||
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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.