Blue Door Aba (NPI# 1306441167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1306441167 |
| Entity Type | Organization |
| Organization Name | BLUE DOOR ABA |
| Practice Address |
2024 E 17th St Brooklyn NY 11229-3802 |
| Practice Telephone | 3158008333 |
| Mailing Address |
2024 E 17th St Brooklyn NY 11229-3802 |
| Mailing Telephone | 3158008333 |
| Authorized Official Name | Mrs. Nancy R Levy (DIRECTOR) |
| Authorized Official Telephone | 3158008333 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| No | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| No | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| No | 251E00000X | Home Health | Agencies | ||
| No | 261QH0100X | Clinic/Center · Health Service | Ambulatory Health Care Facilities | ||
| No | 261QM1300X | Clinic/Center · Multi-Specialty | Ambulatory Health Care Facilities | ||
| No | 172V00000X | Community Health Worker | Other Service Providers | ||
| No | 103K00000X | Behavior Analyst | Behavioral Health & Social Service Providers | ||
| Yes | 251S00000X | Community/Behavioral Health | Agencies | ||
| No | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| No | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| No | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943595 | Maloney Counseling LLC | Community/Behavioral Health | 147 Prince St # 66b, Brooklyn, NY 11201-3022 | 2020-05-08 |
| 1417577545 | Anchor Counseling and Therapy Services | Community/Behavioral Health | 47 Bunny Ln, Brooklyn, CT 06234-3302 | 2020-04-18 |
| 1427681725 | Advancing Avenues Aba LLC | Community/Behavioral Health | 698 4th Ave, Brooklyn, NY 11232-1237 | 2020-02-15 |
| 1093354912 | Edwin Gonzalez | Community/Behavioral Health | 50 Manhattan Ave Apt 4b, Brooklyn, NY 11206-3149 | 2019-12-23 |
| 1760029300 | Cassandra Matukas | Community/Behavioral Health | 1326 Ocean Ave Apt 1h, Brooklyn, NY 11230-3249 | 2019-12-02 |
| 1902441504 | Radiant Self Therapy LLC | Community/Behavioral Health | 68 Hausman St Apt 3, Brooklyn, NY 11222-7111 | 2019-11-07 |
| 1629620224 | Healthy Family Social Daycare Inc | Community/Behavioral Health | 864 56th St # 1a, Brooklyn, NY 11220-3616 | 2019-07-12 |
| 1821553678 | Allomothering Inc | Community/Behavioral Health | 84 Marion St Apt 1, Brooklyn, NY 11233-2103 | 2019-02-06 |
| 1619495512 | Global Trauma Research Inc. | Community/Behavioral Health | 2329 Nostrand Ave Ste 100, Brooklyn, NY 11210-3949 | 2017-08-31 |
| 1760917603 | Flatbush Treatment Addiction Center | Community/Behavioral Health | 595 Coney Island Ave, 2a, Brooklyn, NY 11218-4374 | 2017-04-28 |
| Find all providers in BROOKLYN | ||||
| Street Address |
2024 E 17TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093310831 | Nancy Ruth Levy | Behavior Technician | 2024 E 17th St, Brooklyn, NY 11229-3802 | 2020-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Registered Nurse | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
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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.