JACLYN M DOLAN (NPI# 1659992824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659992824 |
| Entity Type | Individual |
| Full Name | JACLYN M DOLAN |
| Credential | CASAC |
| Practice Address |
317 S Broadway Yonkers NY 10705-2008 |
| Practice Telephone | 9140640905 |
| Mailing Telephone | 9149640905 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
34281 | NY | Behavioral Health & Social Service Providers |
| Street Address |
317 S BROADWAY |
| City | YONKERS |
| State | NY |
| Zip Code | 10705-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962563353 | Yonkers Residential Center,inc. | Clinic/Center | 317 S Broadway, 1st Floor, Yonkers, NY 10705-2008 | 2006-12-12 |
| 1093344665 | Courtney Monay Smith | Counselor | 317 S Broadway, Yonkers, NY 10705-2008 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| 1053802132 | Safa Ali Alsaidi | Speech-Language Pathologist | 72 Sedgwick Ave, Yonkers, NY 10705 | 2018-05-23 |
| 1962921882 | Breena Beck | Social Worker | 487 S Broadway Ste 2, Yonkers, NY 10705 | 2017-09-12 |
| 1285152231 | Megan Nicole Coyne | Specialist/Technologist | 1090 South Dr., Indiana, PA 10705 | 2017-08-30 |
| 1467994459 | Georgia Katsalis | Social Worker | 573 South Broadway, Apt 2e, Yonkers, NY 10705 | 2016-11-08 |
| 1144680125 | Nonyem Akuba | Registered Nurse | 315 Glenbrook Avenue, Yonkers, New York, NY 10705 | 2016-03-03 |
| 1629435078 | Marisol Castro-pecoraro | Counselor | 360 South Broadway, Suite 22, Yonkers, NY 10705 | 2016-01-15 |
| 1518331255 | Health Care New York | Home Health | 39 Cliff Ave, Yonkers, NY 10705 | 2015-11-18 |
| 1548668122 | Mike Menla | Family Medicine | 415 South Broadway, St Josephs Outpatient Clinic, Yonkers, NY 10705 | 2014-12-12 |
| 1952706731 | Branislav Ristic | Dietitian, Registered | 501 Riverdale Ave 2g, Yonkers, NY 10705 | 2014-10-23 |
| Find all providers in zip 10705 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950855 | Victoria Boateng | Counselor | 41 Hardy Pl, Yonkers, NY 10703-1424 | 2016-05-19 |
| 1568775716 | Raquel Hidalgo | Counselor | 467 Central Park Ave, Yonkers, NY 10704-2921 | 2010-07-16 |
| 1396069431 | Theodore Cancel | Counselor | 8 Shonnard Place, Yonkers, NY 10703 | 2010-03-18 |
| 1760637730 | Luis A. Gonzalez | Counselor | 100 North Broadway, Yonkers, NY 10701 | 2008-11-18 |
| 1194976472 | Catherine Cartina Boston | Counselor | 100 N. Broadway, Yonkers, NY 10701 | 2008-10-06 |
| 1104393289 | Nicole Intervallo | Counselor | 2176 Central Park Ave, Yonkers, NY 10710-1826 | 2018-10-27 |
| 1295202620 | Alphonso Simmons | Counselor | 20 S Broadway, Yonkers, NY 10701-3713 | 2018-10-24 |
| 1801307509 | Jamerlia Wyatt | Counselor | 127 S Broadway, Yonkers, NY 10701-4006 | 2017-10-20 |
| 1912352311 | Carmen Vazquez-brown | Counselor | 2 Park Ave, Yonkers, NY 10703-3402 | 2016-05-04 |
| 1437535887 | Lucas V Tossas | Counselor | 575 Bronx River Rd, Apt. 4a, Yonkers, NY 10704-1798 | 2015-08-08 |
| Find all providers in YONKERS | ||||
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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.