Clinicians of the Diaspora, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLINICIANS OF THE DIASPORA, LLC

Practice address

203 W 117TH St Apt 3E
New York, NY 10026-2139

Phone

(347) 509-4648

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Monica Thompson, LCSWNPI 1386187797

Title

C.E.O.

Phone

(347) 509-4648

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Lori Thompson, LMSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1386187797
  NPD Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1063013191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WEST 116TH STREET",
            "address_2": "P.O. BOX 1073",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10026",
            "telephone_number": "347-509-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 117TH ST APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262139",
            "telephone_number": "347-509-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICIANS OF THE DIASPORA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "347-509-4648",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Medical Consulting
• Clinical Pathology Associates
• Clinical Pathology Consultants
• Clinical Psychassociates LLP
• Clinical Therapeutic Support LCSW PC
• Clinilabs Com Inc
• Bianca L Clinkscale
• Brian Keith Clinton, M.D., PH.D.
• Darric Clinton
• Elizabeth Joan Clinton

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.