Organization Active NPI

Kuumba Health LLC

  • Health Psychologist
  • Brooklyn, NY
National Provider Identifier
1003277823
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
KUUMBA HEALTH LLC
Doing business as
Everyday Superheroes Coaching
Sacred Walker
Practice address
41 Schermerhorn St Ste 136
Brooklyn, NY 11201-4802
Phone
(929) 277-2550
NPI assigned
Mar 8, 2016
Organization subpart
Yes
Parent organization
KUUMBA HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sacred Walker, MDIV RDT
Title
Ceo/Business Manager
Phone
(929) 277-2550

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Drama TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 101200000X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Research Study SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1744R1102X
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XM0800X

Addresses

Primary practice location

41 Schermerhorn St Ste 136
Brooklyn, NY 11201-4802

Mailing address

41 Schermerhorn St Ste 136
Brooklyn, NY 11201-4802
Phone (929) 277-2550

Other names 2

  • Everyday Superheroes Coaching Doing business as
  • Sacred Walker Doing business as

National Provider Directory

National Provider Directory
Part of
Kuumba Health LLC

Locations

41 Schermerhorn St
Brooklyn, NY 11201
Phone (646) 421-7460

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1003277823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SCHERMERHORN ST STE 136",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014802",
            "telephone_number": "929-277-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SCHERMERHORN ST STE 136",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014802",
            "telephone_number": "929-277-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUUMBA HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUUMBA HEALTH LLC",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SACRED",
        "authorized_official_title_or_position": "CEO/BUSINESS MANAGER",
        "authorized_official_telephone_number": "929-277-2550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MDIV RDT"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everyday Superheroes Coaching",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacred Walker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.