BEAUTIFUL MIND MEDICAL, PC (NPI# 1790952570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790952570 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL MIND MEDICAL, PC |
| Practice Address |
2218 Kimball St Suite M5 Brooklyn NY 11234-5103 |
| Practice Telephone | 7182531087 |
| Practice Fax Number | 7182537774 |
| Mailing Telephone | 7182531087 |
| Mailing Fax Number | 7182537774 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | MR. VALERIY CHERNOV (PHISICIAN) |
| Authorized Official Telephone | 7182531087 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
232633 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2218 KIMBALL ST SUITE M5 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107719 | Frank Conforti | Psychologist | 575 75th Street, Brooklyn, NY 11209 | 2007-05-01 |
| 1871956573 | Sealight Coalition | Psychologist | 26 Court St, 2011, Brooklyn, NY 11242-0103 | 2016-03-30 |
| 1538506076 | Community Medical Disorder P.C. | Psychologist | 721 Flushing Ave, 1st Floor, Brooklyn, NY 11206-4419 | 2013-05-23 |
| 1124253463 | Doreen Zarfati | Psychologist | 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2009-05-15 |
| 1285875518 | Jennifer Rhodes, Md | Psychologist | 26 Court St, Suite 710, Brooklyn, NY 11242-0103 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101848 | Venus Hardy | Psychologist | 39 Bowery, 597, New York, NY 10002-6702 | 2017-12-29 |
| 1588031827 | Elizabeth Chapman | Psychologist | 1051 Riverside Dr # 111, C/o Jules Ranz, New York, NY 10032-1007 | 2015-08-21 |
| 1790023042 | David Michael Feuer | Psychologist | 30 W. 9th St., 5c, New York, NY 10011 | 2013-01-22 |
| 1205038130 | Albert M. Sax | Psychologist | 11 East 87th St, New York, NY 10128-0527 | 2007-06-04 |
| 1124237698 | Susan Margaret Deakins | Psychologist | 245 W 107th St Apt 3h, New York, NY 10025-3052 | 2007-05-22 |
| 1578781100 | Michael Clifford Piercey | Psychologist | 189 Spring Street, South Salem, NY 10590-0449 | 2007-04-20 |
| 1427274596 | Rivka Bekerman Greenberg | Psychologist | 350 W 57th St, 3a, New York, NY 10019-3758 | 2007-04-17 |
| 1689898983 | Jeanette E Cueva | Psychologist | 40 Park Ave Apt 1k, New York, NY 10016-3456 | 2007-04-11 |
| 1750504635 | Judith R Rabinor | Psychologist | 36 Biarritz St, Lido Beach, NY 11561-5102 | 2007-04-10 |
| 1992762793 | Kent Shinbach | Psychologist | 14 E 75th St, 1a, New York, NY 10021-2625 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
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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.