Individual provider Active NPI

Brian Dale Stanley, M.S.,B.S.

  • Professional Counselor
  • New York, NY
National Provider Identifier
1043595549
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
388535031 Issued in NY
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

Updated by the provider on Oct 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
388535031NYMDBehavioral 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.

Verify at the official NPI Registry.