MRS. STEPHANIE PAGAN (NPI# 1316324478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316324478 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE PAGAN |
| Other Name | STEPHANIE MENDEZ |
| Credential | LMHC |
| Practice Address |
2058 Jerome Ave Bronx NY 10453-1817 |
| Mailing Address |
640 W 239th St Apt 2a Bronx NY 10463-1240 |
| Practice Telephone | 9175648788 |
| Mailing Telephone | (646) 515-1348 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0071401 | NY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
P95403 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2369 2nd Ave, Room 311, New York, NY 100353108 | 2128762300 | 2127227618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063035855 | Stephanie Pagan | Pharmacist | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-05-27 |
| 1538793963 | Stephanie Pagan | Specialist/Technologist | 540 S College Ave, Newark, DE 19713-1302 | 2020-02-25 |
| 1497173173 | Stephanie Pagan | Pediatrics | 1441 S Midlothian Pkwy, Midlothian, TX 76065-5591 | 2014-03-31 |
| Street Address |
2058 JEROME AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313362 | Pamela A Mund | Internal Medicine | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2006-10-02 |
| 1316301294 | Montefiore Medical Center | Clinic/Center | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2016-04-07 |
| 1679915169 | Virginia Kelly Arlt Mutch | Student in an Organized Health Care Education/Training Program | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2013-07-24 |
| 1376821850 | Diane Chang | Internal Medicine | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2011-08-01 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1578162400 | Nancy Alfaro | Counselor | 280 E 134th St Apt 6b, Bronx, NY 10454-4585 | 2020-10-21 |
| 1639778954 | Healthy Minds Nyc Pllc | Counselor | 3060 Albany Cres Apt 33, Bronx, NY 10463-5637 | 2020-10-19 |
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1033725908 | Richard Anthony Robinson | Counselor | 1530 Plimpton Ave Apt 1b, Bronx, NY 10452-1741 | 2020-09-16 |
| 1477168680 | Fathima Humaira Naushad | Counselor | 3508 Kings College Pl Apt 4d, Bronx, NY 10467-1562 | 2020-09-14 |
| 1790399491 | Rossi Alim Hassad | Counselor | 1980 Unionport Rd Apt E31, Bronx, NY 10462-2864 | 2020-09-01 |
| 1659983054 | Xioel Lissette Terrero | Counselor | 780 Pelham Pkwy S Apt E14, Bronx, NY 10462-1105 | 2020-08-18 |
| 1114537644 | Alexandra Carter | Counselor | 1021 Jennings St, Bronx, NY 10460-6010 | 2020-08-10 |
| 1801414040 | Andrea Fernandez | Counselor | 2190 Bolton St Apt 3b, Bronx, NY 10462-1317 | 2020-07-13 |
| 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.