Poised Ondemand-Promoting Opulence in Social Emotional Development LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LLC

Practice address

Poised Ondemand-Promtoing Opulence in Social Emotional
800 Third Avenue, FRNT a #1306
New York, NY 10022

Phone

(914) 885-5093

Fax

(833) 699-4702

NPI assigned

Nov 6, 2019

Organization subpart

Yes

Parent organization

POISED ONDEMAND-PROMOTING OPULENCEAs reported in NPPES

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

Authorized official

Name

Ms. Raquel Johnson, BEHAVIOR HEALTH PROFNPI 1154710275

Title

Ceo

Phone

(914) 507-7576

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Poised onDemand LLC Other name

Electronic endpoints 1

Tax ID family

Poised Ondemand-Promoting Opulence in Social Emotional Development Lim2 organizations share this tax ID, including this one

Part of

Poised Ondemand-Promoting Opulence in Social Emotional Development Lim

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Poised Ondemand-Promoting Opulence in Social Emotional Development Lim

  • Prevention Professional
  • Yonkers, NY
  • NPI 1750057477
  NPD tax ID

Locations

Practitioners 4

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

• Raquel Johnson

  • Case Manager/Care Coordinator
  • New York, NY
  • NPI 1154710275

  Multi-Specialty

  NPD Authorized official
• Cordia McDonald

  • Case Manager/Care Coordinator
  • Mount Vernon, NY
  • NPI 1851044788
  NPD
• Shaamarr Gist

  • Case Manager/Care Coordinator
  • Yonkers, NY
  • NPI 1639717200
  NPD (past)
• Audley Johnson

  • Case Manager/Care Coordinator
  • Yonkers, NY
  • NPI 1295373975
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1073157681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 UNION SQ W # 1471",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033306",
            "telephone_number": "914-507-7576",
            "fax_number": "833-699-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POISED ONDEMAND-PROMTOING OPULENCE IN SOCIAL EMOTIONAL",
            "address_2": "800 THIRD AVENUE, FRNT A #1306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "914-885-5093",
            "fax_number": "833-699-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POISED ONDEMAND-PROMOTING OPULENCE",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-507-7576",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BEHAVIOR HEALTH PROF"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06368170",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://fts.emedny.org:8443/eMedNYServices/FTService/FTService",
            "affiliation": "N",
            "endpointDescription": "File Transfer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Transmit Batch Files",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "File Transfer",
            "address_1": "649 Bronx River Road",
            "address_2": "3R",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107041722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Poised onDemand LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Point Medical
• Point Psychotherapy LCSW, PLLC
• Nicole Poire, INTERPRETER
• Laurence Poirier, M.D.,C.M.
• Marianne Poirier, O.D.
• Gloria Poisson, OTR/L
• Vaty M Poitevien, MD
• Ginger Pojednic, MS, OTR/L
• Nathallie Pokasuwan, M.D.
• Aastha Pokharel, MD

• Case Management Agency in New York, NY
• Providers in New York, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.