SECOND ARC LIFE CENTER LLC (NPI# 1356689475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356689475 |
| Entity Type | Organization |
| Organization Name | SECOND ARC LIFE CENTER LLC |
| Practice Address |
311 North St Ste 203 White Plains NY 10605-2232 |
| Practice Telephone | 9144686080 |
| Practice Fax Number | 9144686078 |
| Mailing Telephone | 9144686080 |
| Mailing Fax Number | 9144686078 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | DR. PARINDA PARIKH (DIRECTOR- SECOND ARC LIFE CTR LLC) |
| Authorized Official Telephone | 9144686080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
311 NORTH ST STE 203 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10605-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790204949 | Dawn Farrar | Social Worker | 311 North St Ste 203, White Plains, NY 10605-2232 | 2017-09-19 |
| 1598126104 | Elissa Zelman | Psychologist | 311 North St Ste 203, White Plains, NY 10605-2232 | 2016-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826443 | Sarah Parad Rowen Lcsw Pllc | Social Worker | 200 Bloomingdale Road, White Plains, NY 10605 | 2020-03-16 |
| 1316455454 | Jeffrey Barrett | General Practice | 23 Old Mamaroneck Rd # Studio1, White Plains, NY 10605 | 2018-01-10 |
| 1487109245 | Francesca Annunziata | Speech-Language Pathologist | 470 Mamaroneck Avenue, Suite 204, White Plains, NY 10605 | 2016-08-23 |
| 1366862153 | Nicholas Joseph Genova | Psychiatry & Neurology | Newyork-presbyterian Westchester Division, 21 Bloomingdale Rd, White Plans, NY 10605 | 2014-04-21 |
| 1811328719 | Jamie Winter | Psychologist | 21 Bloomingdale Road, Rogers Building, Newyork-presbyterian Hospital, White Plains, NY 10605 | 2013-12-03 |
| 1073946075 | Joanne Amy Yewdell | Occupational Therapist | 26 Maplemoor Lane, White Plains, NY 10605 | 2013-08-13 |
| 1295095222 | Benjamin Carl Rudow | Dentist | 280 Mamaroneck Ave Ste 307, White Plains, NY 10605 | 2012-05-24 |
| 1639483811 | Joel M Rodriguez | Occupational Therapy Assistant | 456 North Street, White Plains, NY 10605 | 2010-07-30 |
| 1609189752 | Joanne Ruth Pelletier | Psychologist | 19 Greenridge Avenue, Andrus Children's Center Mental Health Division, White Plains, NY 10605 | 2010-07-19 |
| 1639498736 | George Javor | Internal Medicine | 1 Brentwood Avenue, White Plains, NY 10605 | 2010-05-28 |
| Find all providers in zip 10605 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| City | WHITE PLAINS |
| Zip Code | 10605 |
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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.