Claudine Jones-Bourne
Individual provider Active NPI Psychiatry Physician · New York, NY
NPI 1013335017 · NPPES record last updated Jun 2, 2018
Key facts
- NPI
- 1013335017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 281067 (NY)
- Practice address
- 622 W 168TH St
HP- 1St Floor, Gme Office
New York, NY 10032 - Phone
- (646) 774-6666
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, FL, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200410000748 | NY | Practitioner - Psychiatry | 5698029502 | Reassigns benefits to 1 organization |
| I20240229003089 | FL | Practitioner - Psychiatry | 5698029502 | Reassigns benefits to 1 organization |
| I20240321000873 | MA | Practitioner - Psychiatry | 5698029502 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281067 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Neurobehavioral Associates PC | Current |
Accepting new patients | |
| Family Residences & Essential Enterprises, Inc. | Current | Accepting new patients | |
| Boston Neurobehavioral Associates, LLC | Psychiatry | Current |
Accepting new patients |
| Family Residences and Essential Enterprises, Inc. | Current |
Accepting new patients |
Locations
7205 Aloma Ave
Winter Park, FL 32792
Phone (321) 246-2521
1 Pearl St
#1600A
Brockton, MA 02301
Phone (508) 443-1082
226 Field St
New Bedford, MA 02740
Phone (508) 817-5129
405 Locust Ave
Oakdale, NY 11769
Phone (631) 567-3320
191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804
Phone (516) 870-1665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 281067 | NY | Yes |
Addresses
Primary practice location
622 W 168TH St
HP- 1St Floor, Gme Office
New York, NY 10032
Mailing address
1051 Riverside Dr Ste 1300
New York, NY 10032-1007
Phone (646) 774-6666
Other providers in New York, NY
- Srijana Devi Jonchhe
- Adam Joncich
- Anna Jonczyk
- Marissa C Jondonero
- Melody Ann Jondonero
- Sunni Jones-Ford
- Mandisa Maia Jones-Haywood
- Anne K Jones-Iacovella
- Aaron Matthew Jones
- Akita Jones
All providers in New York, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.