FAMILIES AND INDIVIDUALS IN RECOVERY


Address: 1090 Saint Nicholas Ave, Upper Level, New York, NY 10032-3809
Phone: 2125434449

FAMILIES AND INDIVIDUALS IN RECOVERY (NPI# 1841354370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841354370
Entity Type Organization
Organization Name FAMILIES AND INDIVIDUALS IN RECOVERY
Other Organization Name METROPOLITAN CENTER FOR MENTAL HEALTH
Practice Address 1090 Saint Nicholas Ave
Upper Level
New York
NY 10032-3809
Practice Telephone 2125434449
Practice Fax Number 2125432326
Mailing Telephone 2125434449
Mailing Fax Number 2125432326
Enumeration Date 2006-12-20
Last Update Date 2016-02-29
Authorized Official Name SOFIA GEORGOULIAS (DIRECTOR OF FAIR)
Authorized Official Telephone 2125434449
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
071111330 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00244335 05

Other Provider/Organization Names

Other Name Type Code
METROPOLITAN CENTER FOR MENTAL HEALTH Doing Business As Name - Organization

Office Location

Street Address 1090 SAINT NICHOLAS AVE
UPPER LEVEL
City NEW YORK
State NY
Zip Code 10032-3809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013005693 Anahi Monica Rubin Counselor 1090 Saint Nicholas Ave, New York, NY 10032-3809 2006-10-10
1912516691 Silvana Agterberg Student in an Organized Health Care Education/Training Program 1090 Saint Nicholas Ave, New York, NY 10032-3809 2020-07-28
1699231613 Axel Monroig Psychologist 1090 Saint Nicholas Ave, New York, NY 10032-3809 2019-02-14
1902301757 David Jou Counselor 1090 Saint Nicholas Ave, New York, NY 10032-3809 2018-03-26
1841725975 Evelyn Almonte Social Worker 1090 Saint Nicholas Ave, New York, NY 10032-3809 2017-04-26
1740665355 Cassandra Levi Social Worker 1090 Saint Nicholas Ave, New York, NY 10032-3809 2015-07-24
1245614155 Jimena Porras Counselor 1090 Saint Nicholas Ave, New York, NY 10032-3809 2015-07-10
1780071423 Clara Rosario Counselor 1090 Saint Nicholas Ave, New York, NY 10032-3809 2015-04-21
1861883449 Jannett Santana Social Worker 1090 Saint Nicholas Ave, New York, NY 10032-3809 2015-02-18
1003254426 Jason Hill Counselor 1090 Saint Nicholas Ave, New York, NY 10032-3809 2013-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1447776323 Suzanne Alexandra Black Psychologist 345 Riverside Dr Apt 2f, New York, NY 10025-3452 2017-08-22
1417327016 Medicasafe, Inc. Psychologist 131 Varick St, Suite 934, New York, NY 10013-1410 2015-09-25
1184040123 Integrative Neuropsych Center Psychologist 65 Broadway Ste 812, New York, NY 10006-2503 2014-03-14
1346512936 Daniel Amado Trujillo Psychologist 50 Haven Ave, 102, New York, NY 10032-2652 2012-01-30
1811196579 James Nelson Bowers Dillard Psychologist 220 Manhattan Ave Apt 6f, New York, NY 10025-2666 2007-07-13
1679797765 Joanne Fishman Psychologist 137 E 38th St Apt 9j, New York, NY 10016-2623 2007-04-12
1427170968 Miri Gita Abramis Psychologist 30 W 89th St Apt 1b, New York, NY 10024-2037 2007-04-04
1477694529 Pia C. Marinangeli Psychologist 1646 1st Ave, 12g, New York, NY 10028-4629 2007-02-10
1235206327 Areba Casriel, Inc. Psychologist 500 W 57th St, New York, NY 10019-2902 2006-11-30
1366851909 James Albert Pollock Iv Psychologist 49 W 24th St, Suite 506, New York, NY 10010-3206 2014-08-07
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Competitor

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City NEW YORK
Zip Code 10032

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Dataset Information

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.

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