Denise M Ficklin-Fitzgerald

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

714520 Issued in NY

Legal business name

DENISE M FICKLIN-FITZGERALD

Practice address

315 Madison Ave
Suite 901
New York, NY 10017-5405

Phone

(888) 666-1203

Fax

(212) 957-1912

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Denise M Ficklin-Fitzgerald, E.M.B.A.

Title

Rehabilitation Christian Counselor

Phone

(888) 666-1203

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• The Esoteric Transformational Church Ministries Doing business as

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1124308093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVENUE",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "888-666-1203",
            "fax_number": "212-957-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175405",
            "telephone_number": "888-666-1203",
            "fax_number": "212-957-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE M FICKLIN-FITZGERALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "FICKLIN-FITZGERALD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REHABILITATION CHRISTIAN COUNSELOR",
        "authorized_official_telephone_number": "888-666-1203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "E.M.B.A."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "714520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251V00000X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251V00000X",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251V00000X",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Esoteric Transformational Church Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Noelle Denike, DPT
• Anne Marie Denis, NP
• Elajah Denis, DNP, CRNA
• Maureen Ann Denis, PA-C
• Denise Fredette LCSW PLLC
• Keith Bushey Denison
• Heidi Denker, PT,
• Denn'S Room Psychiatry
• Jonathan Dennehy, MSW
• Megan Dennehy, BCBA

• In Home Supportive Care Agency in New York, NY
• Providers in New York, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.