Organization Active NPI

Dejen Associates, Inc.

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1114390069
Registry record updated Oct 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18003661 Issued in NY
Legal business name
DEJEN ASSOCIATES, INC.
Practice address
925 Bergen St
403
Brooklyn, NY 11238-3367
Phone
(646) 503-5457
NPI assigned
Oct 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2015

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

Authorized official

Name
Mrs. Charmaine Lyiscott, LMHC
Title
President
Phone
(646) 503-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 18003661 NY Primary

Addresses

Primary practice location

925 Bergen St
403
Brooklyn, NY 11238-3367

Mailing address

925 Bergen St
403
Brooklyn, NY 11238-3367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1114390069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BERGEN ST",
            "address_2": "403",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BERGEN ST",
            "address_2": "403",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383367",
            "telephone_number": "646-503-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJEN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-31",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "LYISCOTT",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-503-5457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.