JILLIAN N BEAM (NPI# 1871073171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871073171 |
Entity Type | Individual |
Full Name | JILLIAN N BEAM |
Credential | CASAC |
Practice Address |
763-765 Nostrand Ave Ste#1 Brooklyn NY 11216 |
Practice Telephone | 7182308600 |
Practice Fax Number | 7182282013 |
Mailing Telephone | 7182308600 |
Mailing Fax Number | 7182282013 |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |
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) |
06681 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | LICENSE | 26681 | 01 |
Street Address |
763-765 NOSTRAND AVE, STE#1 |
City | BROOKLYN |
State | NY |
Zip Code | 11216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
1255984613 | Raushanah A. Smith | Registered Nurse | 141 Madison St., #1, Brooklyn, NY 11216 | 2019-07-24 |
1598250086 | Hope Lakeisha Garvin | Social Worker | 763-765 Nostrand Ave, Brooklyn, NY 11216 | 2018-06-27 |
1982192233 | Katharine Ha | Social Worker | 278 Quincy St. #4, Brooklyn, NY 11216 | 2018-04-23 |
1205340254 | Bed Stuy Acupuncture and Massage Therapy Pllc | Acupuncturist | 1069 Bedford Ave Storefront, Brooklyn, NY 11216 | 2017-11-29 |
1619497104 | Aras Occupational Therapy Pllc | Occupational Therapist | 29 Macdonough St, 4g, Brooklyn, NY 11216 | 2017-06-26 |
1033648621 | Yaneth Lombana | Social Worker | 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 | 2017-06-07 |
1922495944 | James Leroy Barry Robinson Jr. | Social Worker | 3 Macdonough St Apt 4l, Brooklyn, NY 11216 | 2015-04-16 |
1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
1760730808 | Jeanine S Fearon | Licensed Practical Nurse | 624 Lafayette Ave, Brooklyn, NY 11216 | 2012-08-21 |
Find all providers in zip 11216 |
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.