SAMELLE TYSON (NPI# 1609482512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609482512 |
Entity Type | Individual |
Full Name | SAMELLE TYSON |
Practice Address |
579 Courtlandt Ave Bronx NY 10451-5013 |
Mailing Address |
2747 Mickle Ave Bronx NY 10469-6117 |
Practice Telephone | 7184852100 |
Mailing Telephone | 9176834878 |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
579 COURTLANDT AVE |
City | BRONX |
State | NY |
Zip Code | 10451-5013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932379757 | Jacqueline Contreras | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2008-03-07 |
1891396438 | Jorge David Figuereo Garcia Jr. | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-11-02 |
1972103463 | Elyza Ann Velez | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-10-26 |
1639778863 | Nicole Alvarez | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-10-19 |
1942807870 | Michelle Peprah | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-10-05 |
1174120356 | Alisha Silvanna Izquierdo | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-10-01 |
1134732605 | Anthony J Pimentel | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-08-25 |
1184236093 | Kristen Strickland | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-08-21 |
1114539970 | Natyana Nakee Hughes | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-08-21 |
1518579085 | Arianny Hernandez | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2020-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
Find all providers in zip 10451 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
1578162400 | Nancy Alfaro | Counselor | 280 E 134th St Apt 6b, Bronx, NY 10454-4585 | 2020-10-21 |
1639778954 | Healthy Minds Nyc Pllc | Counselor | 3060 Albany Cres Apt 33, Bronx, NY 10463-5637 | 2020-10-19 |
1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
1033725908 | Richard Anthony Robinson | Counselor | 1530 Plimpton Ave Apt 1b, Bronx, NY 10452-1741 | 2020-09-16 |
1477168680 | Fathima Humaira Naushad | Counselor | 3508 Kings College Pl Apt 4d, Bronx, NY 10467-1562 | 2020-09-14 |
1790399491 | Rossi Alim Hassad | Counselor | 1980 Unionport Rd Apt E31, Bronx, NY 10462-2864 | 2020-09-01 |
1659983054 | Xioel Lissette Terrero | Counselor | 780 Pelham Pkwy S Apt E14, Bronx, NY 10462-1105 | 2020-08-18 |
1114537644 | Alexandra Carter | Counselor | 1021 Jennings St, Bronx, NY 10460-6010 | 2020-08-10 |
1801414040 | Andrea Fernandez | Counselor | 2190 Bolton St Apt 3b, Bronx, NY 10462-1317 | 2020-07-13 |
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.