EVELYN BURROUGHS (NPI# 1497995476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497995476 |
| Entity Type | Individual |
| Full Name | EVELYN BURROUGHS |
| Credential | CASAC |
| Practice Address |
1215 Stratford Ave Bronx NY 10472-2501 |
| Mailing Address |
1215-1217 Stratford Avenue Bronx NY 10472 |
| Practice Telephone | 7183282605 |
| Practice Fax Number | 7183282609 |
| Mailing Telephone | 7183282605 |
| Mailing Fax Number | 7183282609 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13118 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1215 STRATFORD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10472-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063517944 | Morris Park Physical Therapy Services PC | Physical Therapist | 1215 Stratford Ave, Suite 13, Bronx, NY 10472-2501 | 2006-09-14 |
| 1073837282 | Marie Anne Reyes | Physical Therapist | 1215 Stratford Ave, Suite 13, Bronx, NY 10472-2501 | 2010-03-16 |
| 1497981328 | The Pac Program of The Bronx | Clinic/Center | 1215 Stratford Ave, Bronx, NY 10472-2501 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1497288641 | Claudia Dongmo | Licensed Practical Nurse | 1129 St Lawrence Ave Apt 1a, Bronx, NY 10472 | 2017-04-05 |
| 1952763310 | Amanda Mohammed | Case Manager/Care Coordinator | 1259 Boynton Ave, Bronx, NY 10472 | 2016-03-24 |
| 1669861928 | Ercilia Lopez | Counselor | 1134 Colgate Ave, Apt 4c, Bronx, NY 10472 | 2015-01-09 |
| 1548681448 | Melissa A Diaz | Occupational Therapist | 1575 East 174th Street Apt 13c, Bronx, NY 10472 | 2013-12-18 |
| 1346670973 | Advanced Diagnostic Services Inc | Physiological Laboratory | 1268 White Plains Road., R # 6 (ground Level Shaikh), Bronx, NY 10472 | 2013-11-18 |
| 1366708497 | Rashida U Adil | Registered Nurse | 1025 Morrison Avenue, Jhs 123, Bronx, NY 10472 | 2012-04-03 |
| 1467699637 | Pharmacy Plus Surgical Supplies Inc | Pharmacy | 1770 D Westchester Ave, Bronx, NY 10472 | 2009-01-09 |
| 1144408006 | Gladys Ramona Torres-ortiz | Psychologist | 1764 Weshchester Ave, Bronx, NY 10472 | 2008-02-03 |
| 1346367505 | Nasser M Tejaratchi | Internal Medicine | 1101 White Plains Road, Ph, Bronx, NY 10472 | 2007-03-23 |
| Find all providers in zip 10472 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1013528512 | Koly J. Guilavogui | Counselor | 770 E 176th St Ste 315, Bronx, NY 10460-4617 | 2020-08-10 |
| 1881218063 | Courtney Follweiler | Counselor | 609 Kappock St Apt 5c, Bronx, NY 10463-7777 | 2020-06-03 |
| 1053953430 | Juventino Diez | Counselor | 165 Mermaid Ln, Bronx, NY 10473-2499 | 2019-10-17 |
| 1154983336 | David Matthew Logan | Counselor | 1175 Grand Concourse Fl 8, Bronx, NY 10452-8549 | 2019-07-08 |
| 1801374038 | Cheryl Edmond | Counselor | 1523 Jarvis Ave, Bronx, NY 10461-5604 | 2018-07-31 |
| 1437662855 | Marion L Ogunusi | Counselor | 1910 Arthur Ave Fl 4, Bronx, NY 10457-6305 | 2017-11-07 |
| 1790203818 | Naimah Nazirah Singleton | Counselor | 480 E 188th St Apt 6a, Bronx, NY 10458-5823 | 2017-09-08 |
| 1619494705 | Joshua Barnes | Counselor | 1910 Arthur Ave Fl 7, Bronx, NY 10457-6305 | 2017-08-29 |
| 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.