Irene Bookhard - Dimoh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11739 125TH St
South Ozone Park, NY 11420-2729

Phone

(917) 373-1862

Fax

(866) 217-5980

NPI assigned

Aug 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Irene B. Dimoh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1215713722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11739 125TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202729",
            "telephone_number": "917-373-1862",
            "fax_number": "866-217-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11739 125TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202729",
            "telephone_number": "917-373-1862",
            "fax_number": "866-217-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKHARD - DIMOH",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "DIMOH",
            "middle_name": "B.",
            "credential": "MHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Latchman Bisram
• Paul Stephan Bliok, LMSW
• Cynthia Espina Bolante
• Christopher George Boller, LCSW
• Jay Bee G Bondoc
• Lea M Boriskin, LCSW
• Casey Boston
• Graciela Boyce, MSC.ED
• Seronica Renee Bradley, LPN
• Pearlette Anita Brathwaite Scott, LMSW

• Mental Health Counselor in South Ozone Park, NY
• Providers in South Ozone Park, 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 Aug 31, 2023; 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.