Active NPI
I Heart Soul
- Community/Behavioral Health Agency
- Yorktown Heights, NY
National Provider Identifier
1184170771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- I HEART SOUL
- Practice address
- 240 Underhill Ave Apt 6
Yorktown Heights, NY 10598 - Phone
- (914) 648-2505
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamica Nelson
- Title
- Sole Proprietor
- Phone
- (914) 648-2505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
240 Underhill Ave Apt 6
Yorktown Heights, NY 10598
Mailing address
240 Underhill Ave Apt 6
Yorktown Heights, NY 10598-4525
Phone (914) 648-2505
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1184170771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 UNDERHILL AVE APT 6",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984525",
"telephone_number": "914-648-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 UNDERHILL AVE APT 6",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "10598",
"telephone_number": "914-648-2505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I HEART SOUL",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "TAMICA",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "914-648-2505"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.