DAMIEN TILLIMAN


Address: 4332 22nd St Ste 203, Long Island City, NY 11101-5077
Phone: 5857500091

DAMIEN TILLIMAN (NPI# 1588205272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588205272
Entity Type Individual
Full Name DAMIEN TILLIMAN
Practice Address 4332 22nd St Ste 203
Long Island City
NY 11101-5077
Practice Telephone 5857500091
Mailing Telephone 5857500091
Enumeration Date 2019-10-03
Last Update Date 2019-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
022266 NY Behavioral Health & Social Service Providers

Office Location

Street Address 4332 22ND ST STE 203
City LONG ISLAND CITY
State NY
Zip Code 11101-5077

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NPI Name Taxonomy Address Enumeration
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1093362816 Mind In Motion Psychological Services, Pllc Clinic/Center 4332 22nd St Ste 203, Long Island City, NY 11101-5077 2019-08-26

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508157116 Tomasz Skiba Psychologist 4-75 48th Ave., Apt. 212, Long Island City, NY 11109-5502 2011-04-29
1568509560 Calliope Callias Psychologist 3412 36th Street, Suite 3/201, Long Island City, NY 11106-1200 2007-01-30
1235189721 Aviva Glass Psychologist 5-31 50th Avenue, Long Island City, NY 11101 2006-05-12
1801844584 Steinway Child and Family Services, Inc. Psychologist 2215 43rd Ave Fl 2, Long Island City, NY 11101-5018 2006-05-04
1578551180 Patricia Bagby Psychologist 1151 30th Rd, Long Island City, NY 11102-4032 2005-10-07
1346894359 Chassitty Nikole Fiani Psychologist 4143 Crescent St, Long Island City, NY 11101-3805 2019-07-29
1023551389 Konata Stallings Psychologist 4140 27th St, Long Island City, NY 11101-3825 2016-11-18
1376958090 Amanda Volper Psychologist 4720 Center Blvd, Apt 3008, Long Island City, NY 11109-5619 2014-06-23
1093099376 Jennifer Lauren Heslin Psychologist 4140 27th St, Long Island City, NY 11101-3825 2011-10-04
1801191309 Katarzyna Sakowicz-drennan Psychologist 4209 28th St, Long Island City, NY 11101-4130 2011-01-14
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Competitor

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City LONG ISLAND CITY
Zip Code 11101

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Dataset Information

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.

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