Clinicians of The Diaspora, LLC
Community/Behavioral Health

Address: 203 W 117th St Apt 3e, New York, NY 10026-2139
Phone: 3475094648

Clinicians of The Diaspora, LLC (NPI# 1063013191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1063013191
Entity Type Organization
Practice Address 203 W 117th St Apt 3e
New York
NY 10026-2139
Practice Telephone 3475094648
Mailing Address 232 West 116th Street
P.o. Box 1073
New York
NY 10026
Mailing Telephone 3475094648
Authorized Official Name Ms. Monica Thompson (C.E.O.)
Authorized Official Telephone 3475094648
Authorized Official Credential LCSW
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-04
Last Update Date 2020-11-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers
No 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities
Yes 251S00000X Community/Behavioral Health Agencies

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 203 W 117TH ST APT 3E
State NY
Zip Code 10026-2139

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538704663 Glenda Murdaugh Social Worker 130 Lenox Avenue, Apt. 613, New York, NY 10026 2019-11-13
1043702574 Gwendolyn Miller Counselor Create Inc, 73-75 Lenox Ave, New York, NY 10026 2018-05-31
1013423391 Herman L Jackson Physical Therapy Assistant Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 2017-12-21
1497264915 Yudith O. Mahon Registered Nurse 110 West 114th Street Apt. 1b, New York, NY 10026 2017-09-27
1124546254 Carmen Raina Abagail Lalonde Psychologist 155 West 72nd Street, Suite 505, Manhattan, NY 10026 2017-09-09
1972053387 Crate Community/Behavioral Health 73 Lenox Avenue, New York, NY 10026 2016-10-10
1770931875 Wendy P Nick Speech-Language Pathologist 240 W 113th St, New York, NY 10026 2016-05-30
1720464209 Barbara D. Leese Social Worker 305 W 118th St, New York, NY 10026 2015-08-06
1982091880 Philip Miller I Counselor 121 West 111th Street, New York, NY 10026 2015-04-20
1154711612 Create, Inc. Substance Abuse Rehabilitation Facility 121-123 West 111th Street, New York, NY 10026 2015-02-04
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Zip Code 10026

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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.