MICHELLE SANTIAGO-MEDINA (NPI# 1477075232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477075232 |
| Entity Type | Individual |
| Full Name | MICHELLE SANTIAGO-MEDINA |
| Credential | PH.D. |
| Practice Address |
1235 Pelham Pkwy N Bronx NY 10469-5817 |
| Mailing Address |
10765 92nd St Ozone Park NY 11417-1503 |
| Practice Telephone | 7182314300 |
| Mailing Telephone | 9392508303 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P06330 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1235 PELHAM PKWY N |
| City | BRONX |
| State | NY |
| Zip Code | 10469-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720151863 | Morris Berkowitz | Skilled Nursing Facility | 1235 Pelham Pkwy N, Bronx, NY 10469-5817 | 2006-11-16 |
| 1982078770 | Veronika Borodina | Registered Nurse | 1235 Pelham Pkwy N, Bronx, NY 10469-5817 | 2015-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606817 | Sarah Luem | Psychologist | 2144 Muliner Ave, Bronx, NY 10462-2003 | 2020-07-06 |
| 1790302438 | Fieldston Counseling, Lcsw, Pllc | Psychologist | 3265 Johnson Ave Ste 105, Bronx, NY 10463-3539 | 2020-06-29 |
| 1447873211 | Inika Winslow | Psychologist | 3265 Johnson Ave Ste 204, Bronx, NY 10463-3539 | 2020-05-27 |
| 1093336703 | Integrated Family Health Np & Psychology Pllc | Psychologist | 1072 Grand Concrs, Bronx, NY 10456-3901 | 2020-05-04 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| 1508496696 | Hana Paisner | Psychologist | 3424 Kossuth Ave # 12c-07, Bronx, NY 10467-2410 | 2020-01-17 |
| 1568006260 | Riverdale Psychology LLC | Psychologist | 3736 Henry Hudson Pkwy Ste 204, Bronx, NY 10463-1514 | 2019-11-05 |
| 1821650656 | Eleanor Murphy | Psychologist | 3050 Corlear Ave Apt 608, Bronx, NY 10463-5184 | 2019-07-02 |
| 1841858446 | Clarity and Wellness Mental Health Counseling | Psychologist | 3174 Riverdale Ave Ofc 1, Bronx, NY 10463-3839 | 2019-05-30 |
| 1578044426 | Alison Elizabeth Gurley | Psychologist | 3544 Jerome Ave Fl 2, Bronx, NY 10467-1005 | 2018-08-28 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MICHELLE SANTIAGO-MEDINA.
| 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.