Active NPI
Patawe Ricks, M.ED.
- Specialist
- White Plains, NY
National Provider Identifier
1073983979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1311 Mamaroneck Ave Ste 150
White Plains, NY 10605-5222 - Phone
- (914) 328-2868
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1311 Mamaroneck Ave Ste 150
White Plains, NY 10605-5222
Mailing address
968 Sunset Rd
Stamford, CT 06903-2427
Phone (631) 438-6962
Other practice location 1
82 Mercury Ave
East Patchogue, NY 11772-4608
Phone (631) 438-6962
Other names 1
- Patawe Simms
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
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Up We Grow Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Melville, NY
- NPI 1841066842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1073983979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 SUNSET RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069032427",
"telephone_number": "631-438-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 150",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055222",
"telephone_number": "914-328-2868"
}
],
"practiceLocations": [
{
"address_1": "82 Mercury Ave",
"address_purpose": "LOCATION",
"city": "East Patchogue",
"state": "NY",
"postal_code": "117724608",
"country_code": "US",
"telephone_number": "631-438-6962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKS",
"first_name": "PATAWE",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATAWE",
"last_name": "SIMMS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.