Sereetta Adams-Dawson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3636 33Rd St Ste 500
Long Island City, NY 11106-2329

Phone

(212) 920-2904

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1033734223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SCHENECTADY AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132357",
            "telephone_number": "267-970-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 500",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "212-920-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Schenectady Ave Apt 2R",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112132357",
            "country_code": "US",
            "telephone_number": "267-970-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS-DAWSON",
        "first_name": "SEREETTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Ackelsberg
• Ivana Francesca Acosta, M.S., CCC-SLP, TSSLD
• Maribel Acosta, OTA
• Active Medical Supplies Inc
• Zara Anika Adam-Waters
• Oneika A Adams, RN
• Kudirat Oluwatoyin Adelabu, MSN, RN
• Debbie Adison
• Rexford Adjei Twum
• Raymond Adjetey, NURSE

• All providers in Long Island City, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.