REYNALDO ANTONIO DOUGLAS (NPI# 1801428990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801428990 |
| Entity Type | Individual |
| Full Name | REYNALDO ANTONIO DOUGLAS |
| Practice Address |
1664 E 14th St Fl 5 Brooklyn NY 11229-1155 |
| Mailing Address |
47 Mckeever Pl Apt 8e Brooklyn NY 11225-2540 |
| Practice Telephone | 9292737601 |
| Practice Fax Number | 7183076871 |
| Mailing Telephone | 3478458038 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1664 E 14TH ST FL 5 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215457569 | Shakell Monique Newton | Counselor | 1664 E 14th St Fl 5, Brooklyn, NY 11229-1155 | 2017-06-27 |
| 1851999353 | Brenda Glasse | Counselor | 1664 E 14th St Fl 5, Brooklyn, NY 11229-1155 | 2020-10-15 |
| 1801377981 | Johani Robertson | Social Worker | 1664 E 14th St Fl 5, Brooklyn, NY 11229-1155 | 2018-08-27 |
| 1306350723 | Rafael Mestre | Counselor | 1664 E 14th St Fl 5, Brooklyn, NY 11229-1155 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| 1386251304 | Sylvia Ann Ford-williams | Counselor | 100 N Portland Ave Rm B214, Brooklyn, NY 11205-2005 | 2020-09-24 |
| 1295349124 | Joanne Garcia | Counselor | 545 Hegeman Ave, Brooklyn, NY 11207-7017 | 2020-09-08 |
| 1467061622 | Karin Kemp | Counselor | 584 E 29th St Apt 3c, Brooklyn, NY 11210-1427 | 2020-07-23 |
| 1942828553 | Jorge Luis Delgado | Counselor | 3178 Bayview Ave Apt 6b, Brooklyn, NY 11224-1838 | 2020-07-09 |
| 1861018137 | Javier Duran | Counselor | 800 Poly Pl Apt 2, Brooklyn, NY 11209-7104 | 2020-06-22 |
| 1336783331 | Alemash Asfaw | Counselor | 175 Remsen St Ste 9, Brooklyn, NY 11201-4333 | 2019-11-01 |
| 1639739071 | Ciera Dashawn Andrews | Counselor | 2857 Seamon Ave, Brooklyn, MD 21225-1160 | 2019-06-18 |
| Find all providers in BROOKLYN | ||||
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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.