MRS. CATHLEEN PEACOCK


Address: 40 Rector St, 11th Floor, New York, NY 10006-1705
Phone: 7188557485

MRS. CATHLEEN PEACOCK (NPI# 1881885838) 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) 1881885838
Entity Type Individual
Full Name MRS. CATHLEEN PEACOCK
Credential MSW
Practice Address 40 Rector St
11th Floor
New York
NY 10006-1705
Mailing Address 3111 Aurelia Ct
Apt. 214
Brooklyn
NY 11210-3255
Practice Telephone 7188557485
Practice Fax Number 7188551317
Mailing Telephone 7188557485
Mailing Fax Number 7188551317
Enumeration Date 2007-08-06
Last Update Date 2007-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
070451-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 40 RECTOR ST
11TH FLOOR
City NEW YORK
State NY
Zip Code 10006-1705

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1437226156 Stella V. Pappas Social Worker 40 Rector St, 8th Floor, New York, NY 10006-1705 2006-11-29
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1629332515 Le-nise Michelle Watson-hudson Registered Nurse 40 Rector St, New York, NY 10006-1705 2012-06-26
1306109749 Sonia P Barolette Registered Nurse 40 Rector St, New York, NY 10006-1705 2012-06-20
1134482565 Marcia Anita Titus-prescott Registered Nurse 40 Rector St, New York, NY 10006-1705 2012-06-20
1720344120 Coordinated Behavioral Care, Inc Exclusive Provider Organization 40 Rector St, 11th Floor, New York, NY 10006-1705 2012-04-10
1730451071 Coordinated Behavioral Care, Inc Case Management 40 Rector St, New York, NY 10006-1705 2012-02-02
1760790620 Elisabeth Isaksen Social Worker 40 Rector St, New York, NY 10006-1705 2010-09-14
1801100110 Patricia Panchamsingh Counselor 40 Rector St, New York, NY 10006-1705 2010-07-28
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10006

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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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