Jill A Ratigan Polenta

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006417-01 Issued in NY

Practice address

4726 161St St
Flushing, NY 11358-3639

Phone

(917) 882-4800

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1194586032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 161ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583639",
            "telephone_number": "917-882-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 161ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583639",
            "telephone_number": "917-882-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATIGAN POLENTA",
        "first_name": "JILL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006417-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Rapp-Weinstein, OTR/L
• Alisha Sue Rappaport, MA, ATR-BC, LCAT
• Yasmin Rashid, LCSWR
• Mariam Rashidzada, PAC
• Rashmi Gulati
• Homyra Rauf, LPN
• Kanwar Singh Rauhila, MD
• Priya Ramesh Ravipati, M.D.
• Zachary Nathan Ravnitzky, DO
• Era Rawal

• Mental Health Counselor in Flushing, NY
• Providers in Flushing, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.