NICHOLAS DEAN BRUNNER (NPI# 1508249434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508249434 |
| Entity Type | Individual |
| Full Name | NICHOLAS DEAN BRUNNER |
| Credential | LCAT-P |
| Practice Address |
421 27th Ave Astoria NY 11102-4175 |
| Practice Telephone | 7187776398 |
| Mailing Telephone | 7187776398 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | P95788 | NY | Behavioral Health & Social Service Providers |
| Street Address |
421 27TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-4175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316994585 | Urbano Guarin | Family Medicine | 421 27th Ave, Astoria, NY 11102-4510 | 2006-05-31 |
| 1093240954 | The Floating Hospital Inc. | Clinic/Center | 421 27th Ave, Astoria, NY 11102-4175 | 2017-04-27 |
| 1063960342 | Savanna Keator | Counselor | 421 27th Ave, Astoria, NY 11102-4175 | 2016-09-15 |
| 1538543103 | Isabel Restrepo | Social Worker | 421 27th Ave, Astoria, NY 11102-4175 | 2015-07-14 |
| 1619351509 | Russell Roten | Counselor | 421 27th Ave, Astoria, NY 11102-4175 | 2015-07-10 |
| 1255714184 | Thomas A. Wilkie | Counselor | 421 27th Ave, Astoria, NY 11102-4175 | 2015-07-09 |
| 1467835397 | Julia Margolis | Social Worker | 421 27th Ave, Astoria, NY 11102-4175 | 2015-07-09 |
| 1154716504 | Gloria Choi | Social Worker | 421 27th Ave, Astoria, NY 11102-4175 | 2015-04-02 |
| 1629347836 | Kim Hanson-montgomery | Case Manager/Care Coordinator | 421 27th Ave, Astoria, NY 11102-4175 | 2011-12-16 |
| 1588933972 | Jean Maby | Registered Nurse | 421 27th Ave, Astoria, NY 11102-4175 | 2011-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1609404698 | Julia Franklin | Counselor | 3089 38th St Apt 3n, Astoria, NY 11103-3672 | 2020-03-27 |
| 1548821499 | Kenneth H. Rislow | Counselor | 165 West Exchange, Astoria, OR 97103-1054 | 2019-06-21 |
| 1518439892 | Elizabeth Gordon | Counselor | 3076 38th St Apt 4d, Astoria, NY 11103-3857 | 2018-12-26 |
| 1578030607 | Sharmishtha Gupta | Counselor | 3272 Steinway St Fl 5, Astoria, NY 11103-4182 | 2018-10-26 |
| 1629550587 | Fallon Childs | Counselor | 2737 27th St Apt 1g, Astoria, NY 11102-2424 | 2018-09-06 |
| 1710432943 | Andrew Collins Vickery | Counselor | 813 Astoria Blvd, Astoria, NY 11102-4028 | 2016-08-17 |
| 1851671960 | Dana S Dedolph | Counselor | 100 39th St # 2b, Astoria, OR 97103-2499 | 2011-08-19 |
| 1679738900 | Cindy Teresa Sinor | Counselor | 450 Marine Dr, Astoria, OR 97103-4248 | 2008-07-25 |
| 1336301621 | Shannon M Lilja | Counselor | 818 Commercial St Ste 305, (second Office In Beaverton, Oregon), Astoria, OR 97103-4553 | 2008-06-27 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on NICHOLAS DEAN BRUNNER.
| 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.