COMMUNITY MEDICAL DISORDER P.C. (NPI# 1538506076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538506076 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL DISORDER P.C. |
| Practice Address |
721 Flushing Ave 1st Floor Brooklyn NY 11206-4419 |
| Practice Telephone | 7182186888 |
| Practice Fax Number | 7182186855 |
| Mailing Telephone | 7182186888 |
| Mailing Fax Number | 7182186855 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | DR. HERBERT MORTON MEADOW (PRESIDENT) |
| Authorized Official Telephone | 7182186888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
090294 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03345420 | 05 | |
| NY | MEDICARE PTAN | A400067616 | 01 |
| Street Address |
721 FLUSHING AVE 1ST FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11206-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033306204 | Prabash Koneru | Internal Medicine | 721 Flushing Ave, Brooklyn, NY 11206 | 2007-10-01 |
| 1154970283 | Deidre Drummonds | Social Worker | 721 Flushing Ave, Brooklyn, NY 11206-4448 | 2019-09-11 |
| 1699323527 | Crystal Morgan | Social Worker | 721 Flushing Ave, Brooklyn, NY 11206-4448 | 2019-09-04 |
| 1013483171 | Rivka Fischer Np In Family Health PC | Family Medicine | 721 Flushing Ave, Brooklyn, NY 11206-4448 | 2018-10-16 |
| 1770916918 | Rivkah Fischer | Specialist | 721 Flushing Ave, Brooklyn, NY 11206 | 2013-08-12 |
| 1811338684 | Simeon Eli Isaacs | Podiatrist | 721 Flushing Ave, Brooklyn, NY 11206-4419 | 2013-07-09 |
| 1235408584 | Interhealth Medical Care PC | Family Medicine | 721 Flushing Ave, Brooklyn, NY 11206-4419 | 2011-12-15 |
| 1063792158 | Intermed Care PC | Internal Medicine | 721 Flushing Ave, Brooklyn, NY 11206-4419 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
| 1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
| 1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
| 1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
| 1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
| 1184284895 | Jacqueline So | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-06-14 |
| 1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
| 1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
| 1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
| 1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
| Find all providers in zip 11206 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790952570 | Beautiful Mind Medical, PC | Psychologist | 2218 Kimball St, Suite M5, Brooklyn, NY 11234-5103 | 2008-05-12 |
| 1710107719 | Frank Conforti | Psychologist | 575 75th Street, Brooklyn, NY 11209 | 2007-05-01 |
| 1871956573 | Sealight Coalition | Psychologist | 26 Court St, 2011, Brooklyn, NY 11242-0103 | 2016-03-30 |
| 1124253463 | Doreen Zarfati | Psychologist | 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2009-05-15 |
| 1285875518 | Jennifer Rhodes, Md | Psychologist | 26 Court St, Suite 710, Brooklyn, NY 11242-0103 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101848 | Venus Hardy | Psychologist | 39 Bowery, 597, New York, NY 10002-6702 | 2017-12-29 |
| 1588031827 | Elizabeth Chapman | Psychologist | 1051 Riverside Dr # 111, C/o Jules Ranz, New York, NY 10032-1007 | 2015-08-21 |
| 1790023042 | David Michael Feuer | Psychologist | 30 W. 9th St., 5c, New York, NY 10011 | 2013-01-22 |
| 1205038130 | Albert M. Sax | Psychologist | 11 East 87th St, New York, NY 10128-0527 | 2007-06-04 |
| 1124237698 | Susan Margaret Deakins | Psychologist | 245 W 107th St Apt 3h, New York, NY 10025-3052 | 2007-05-22 |
| 1578781100 | Michael Clifford Piercey | Psychologist | 189 Spring Street, South Salem, NY 10590-0449 | 2007-04-20 |
| 1427274596 | Rivka Bekerman Greenberg | Psychologist | 350 W 57th St, 3a, New York, NY 10019-3758 | 2007-04-17 |
| 1689898983 | Jeanette E Cueva | Psychologist | 40 Park Ave Apt 1k, New York, NY 10016-3456 | 2007-04-11 |
| 1750504635 | Judith R Rabinor | Psychologist | 36 Biarritz St, Lido Beach, NY 11561-5102 | 2007-04-10 |
| 1992762793 | Kent Shinbach | Psychologist | 14 E 75th St, 1a, New York, NY 10021-2625 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
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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.