HAILE SELASSIE (NPI# 1588044887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588044887 |
| Entity Type | Individual |
| Full Name | HAILE SELASSIE |
| Practice Address |
138 S Columbus Ave Mount Vernon NY 10553-1337 |
| Practice Telephone | 9146637201 |
| Practice Fax Number | 9146637203 |
| Mailing Telephone | 6463538919 |
| Mailing Fax Number | 9146637203 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P94860 | NY | Behavioral Health & Social Service Providers |
| Street Address |
138 S COLUMBUS AVE |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10553-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629584438 | Monique Gallimore | Behavioral Analyst | 299e. Sidney Ave., Mount Vernon, NY 10553 | 2017-12-18 |
| 1700321742 | Patricia Murphy | Counselor | 256 Washington St., Mt. Vernon, NY 10553 | 2016-12-29 |
| 1568919082 | Douglas Bryant Srour | Counselor | 256 Washington Street, Mount Vernon, NY 10553 | 2016-09-01 |
| 1013330737 | Laurie-ann Benjamin | Registered Nurse | 203 S. Columbus Ave, Apt. 03, Mt. Vernon, NY 10553 | 2014-01-31 |
| 1982981288 | Fabiola Estera | Case Manager/Care Coordinator | 110 Vernon Avenue, Apt 2l, Mt. Vernon, NY 10553 | 2011-11-15 |
| 1023349396 | Inez Rosemary Hamilton | Licensed Practical Nurse | 267 Franklin Ave, Mount Vernon, NY 10553 | 2010-01-26 |
| 1619100609 | Elizabeth Gelfand | Social Worker | 9 W. Prospect Ave Suite 412, The Guidance Center of Westchester, Mount Vernon, NY 10553 | 2009-08-25 |
| 1306042395 | Biagio Scialpi | Family Medicine | 165 North Columbus Ave, The School District of Mount Vernon City, Mount Vernon, NY 10553 | 2007-06-26 |
| 1518015429 | Roberta James | Registered Nurse | 76 Vernon Avenue, Mount Vernon, NY 10553 | 2007-01-08 |
| 1740229186 | Julia Abend | Dentist | 1075 Central Park Avenue, Suite 207, Scarsdale Oral Surgery, P.C., Scarsdale, NY 10553 | 2006-06-04 |
| Find all providers in zip 10553 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1619503489 | Camille Elise Keefe | Counselor | 301 Valley Mall Way Ste 100, Mount Vernon, WA 98273-5462 | 2020-03-12 |
| 1720540396 | Erica Parker-jackson | Counselor | 27 Melrose Ave, Mount Vernon, NY 10552-3108 | 2019-04-03 |
| 1588107585 | Christopher M Reid | Counselor | 306 Highway 1 S Ste B, Mount Vernon, IA 52314-9501 | 2016-11-22 |
| 1093262933 | Kristine Grace Ford | Counselor | 2203 Old Hwy 99 S, Mount Vernon, WA 98273 | 2016-09-08 |
| 1568919082 | Douglas Bryant Srour | Counselor | 256 Washington Street, Mount Vernon, NY 10553 | 2016-09-01 |
| 1629442959 | Whitney Baldridge | Counselor | 16342 N Il Highway 37, Mount Vernon, IL 62864-8178 | 2015-11-24 |
| 1811368343 | Lessie Lacy | Counselor | 423 S 8th Ave, Mount Vernon, NY 10550-4326 | 2015-10-09 |
| 1336543412 | Randy Graeme Bennett | Counselor | 120 E Fir St Ste 102, Mount Vernon, WA 98273-2964 | 2014-10-17 |
| 1588072797 | Douglas Andrew Green | Counselor | 677 S 7th Ave, Mount Vernon, NY 10550-4825 | 2014-07-31 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10553 |
Please comment or provide details below to improve the information on HAILE SELASSIE.
| 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.