COSMIC PSYCH-MEDX (NPI# 1326649146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326649146 |
| Entity Type | Organization |
| Organization Name | COSMIC PSYCH-MEDX |
| Practice Address |
2065 E 54th St Apt 2 Brooklyn NY 11234-4750 |
| Mailing Address |
Po Box 260031 Brooklyn NY 11226-0031 |
| Practice Telephone | 3474650684 |
| Practice Fax Number | 3474650684 |
| Mailing Telephone | 3474650684 |
| Mailing Fax Number | 3474650684 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | MS. HATSHEPSUT NOLENE KISA-DAVIDSON (CHIEF CLINICIAN) |
| Authorized Official Telephone | 3474650684 |
| Authorized Official Credential | MSTOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
2065 E 54TH ST APT 2 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822562 | Marali Holder | Marriage & Family Therapist | 784 Rogers Ave, Brooklyn, NY 11226-3602 | 2020-08-17 |
| 1831714021 | Trisha Seawell | Marriage & Family Therapist | 159 Jackson St Apt 1, Brooklyn, NY 11211-2414 | 2020-06-12 |
| 1356987879 | Nikiesha Kirkpatrick | Marriage & Family Therapist | 247 Prospect Ave Ste 4c, Brooklyn, NY 11215-8403 | 2019-11-19 |
| 1730644923 | Lauren Mclennon | Marriage & Family Therapist | 3360 Shore Pkwy # C-1, Brooklyn, NY 11235-2716 | 2019-02-01 |
| 1073024022 | Claire Hapke | Marriage & Family Therapist | 26 Court St Ste 2302, Brooklyn, NY 11242-1123 | 2017-10-17 |
| 1619428232 | Aricia Lewis | Marriage & Family Therapist | 1047 E 57th St, Brooklyn, NY 11234-2507 | 2016-10-19 |
| 1821446204 | Kim Franka Maria Meijer | Marriage & Family Therapist | 970 Kent Ave, Apt 105, Brooklyn, NY 11205-4474 | 2016-05-26 |
| 1801257829 | Tierra Hollaway | Marriage & Family Therapist | 186 Covert St, Brooklyn, NY 11207-1214 | 2016-03-18 |
| 1508249566 | Think Possible Marriage and Family Therapy | Marriage & Family Therapist | 1720 Nostrand Ave, Brooklyn, NY 11226-6456 | 2015-07-08 |
| 1306224381 | Christopher Flanigan | Marriage & Family Therapist | 372 2nd St, Apt 4c, Brooklyn, NY 11215-2487 | 2015-05-11 |
| 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.