BRENDA SCULLARK (NPI# 1881995686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881995686 |
| Entity Type | Individual |
| Full Name | BRENDA SCULLARK |
| Credential | CASAC-T |
| Practice Address |
116 John St Fl 27 New York NY 10038-3414 |
| Practice Telephone | 2129640128 |
| Practice Fax Number | 2129640112 |
| Mailing Telephone | 2129640128 |
| Mailing Fax Number | 2129640112 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
23539 | NY | Behavioral Health & Social Service Providers |
| Street Address |
116 JOHN ST FL 27 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053586289 | Andrey Rusetskiy | Social Worker | 116 John St Fl 27, New York, NY 10038-3414 | 2008-04-29 |
| 1497045157 | Theodore Renwick | Counselor | 116 John St Fl 27, New York, NY 10038-3414 | 2011-04-15 |
| 1235435504 | Stephen Pittman | Counselor | 116 John St Fl 27, New York, NY 10038-3414 | 2011-02-04 |
| 1700187499 | Nicole O Helenius | Registered Nurse | 116 John St Fl 27, New York, NY 10038-3414 | 2010-11-11 |
| 1497055024 | Tessa Mariko Shimizu | Counselor | 116 John St Fl 27, New York, NY 10038-3414 | 2010-10-29 |
| 1760782387 | Rita M. Gillens | Counselor | 116 John St Fl 27, New York, NY 10038-3414 | 2010-10-29 |
| 1386944049 | Daniella James | Counselor | 116 John St Fl 27, New York, NY 10038-3414 | 2010-10-28 |
| 1194030320 | Cis Counseling Center | Health Maintenance Organization | 116 John St Fl 27, New York, NY 10038-3414 | 2010-08-12 |
| 1962716605 | Samuel Manzano | Licensed Practical Nurse | 116 John St Fl 27, New York, NY 10038-3414 | 2010-08-05 |
| 1922232990 | Sheila Yvette Boyd | Counselor | 116 John St Fl 27, New York, NY 10038-3414 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
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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.