NADINE YVETTE JACKSON (NPI# 1740703560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740703560 |
| Entity Type | Individual |
| Full Name | NADINE YVETTE JACKSON |
| Credential | CASAC |
| Practice Address |
1751 Park Ave New York NY 10035-2809 |
| Mailing Address |
141 W 128th St Apt 7 New York NY 10027-3027 |
| Practice Telephone | 2129914994 |
| Practice Fax Number | 2124141431 |
| Mailing Telephone | 6466570063 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2-11436 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057218 | Nadine A Jackson | Massage Therapist | 4335 Vineland Ave Apt 222, Studio City, CA 91602-3430 | 2020-09-08 |
| 1750852463 | Nadine Jackson | Technician | 2545 36th St Se, Washington, DC 20020-1215 | 2018-12-07 |
| Street Address |
1751 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083820583 | Bailey House Inc | Community/Behavioral Health | 1751 Park Ave, 4th Floor, New York, NY 10035-2831 | 2007-05-14 |
| 1568009041 | Bailey House Inc | Clinic/Center | 1751 Park Ave, New York, NY 10035-2809 | 2019-12-04 |
| 1093357030 | Jennifer Benavides | Speech-Language Pathologist | 1751 Park Ave, New York, NY 10035-2809 | 2019-10-10 |
| 1164993531 | Giannci Genau | Social Worker | 1751 Park Ave, New York, NY 10035-2809 | 2018-12-11 |
| 1922576412 | Eileen Molina | Social Worker | 1751 Park Ave, New York, NY 10035-2809 | 2018-11-02 |
| 1396221081 | Nicole Brown | Social Worker | 1751 Park Ave, New York, NY 10035-2809 | 2018-07-16 |
| 1174029722 | Onaje Jua Muid | Counselor | 1751 Park Ave, New York, NY 10035-2809 | 2018-04-03 |
| 1043733918 | Daniel Joseph Candelario I | Counselor | 1751 Park Ave, New York, NY 10035-2809 | 2017-07-21 |
| 1013376300 | Prescilla Danielle John | Social Worker | 1751 Park Ave, 3rd Floor, New York, NY 10035-2809 | 2016-02-16 |
| 1558736256 | Lesley Anne Solomon | Social Worker | 1751 Park Ave, New York, NY 10035-2809 | 2015-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
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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.