Active NPI
Brian Dale Stanley, M.S.,B.S.
- Professional Counselor
- New York, NY
National Provider Identifier
1043595549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 388535031
- Practice address
- 33 Bradhurst Ave Apt 4
New York, NY 10030-1389 - Phone
- (212) 491-3541
- NPI assigned
- Oct 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 388535031 | NY | Primary |
| Behavior Analyst | 103K00000X | 388535031 | NY |
Addresses
Primary practice location
33 Bradhurst Ave Apt 4
New York, NY 10030-1389
Mailing address
33 Bradhurst Ave 4TH Floor
New York, NY 10030
Phone (212) 491-3541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388535031 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1043595549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BRADHURST AVE 4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10030",
"telephone_number": "212-491-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BRADHURST AVE APT 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100301389",
"telephone_number": "212-491-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "BRIAN",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "M.S.,B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "388535031",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "388535031",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.