Individual provider Active NPI

Cressada Theresa Glean-Brillant, MA,LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1285832584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003773 Issued in NY
Practice address
300 Flatbush Ave
Brooklyn, NY 11217-2812
Phone
(718) 622-2000
NPI assigned
Jul 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003773 NY Primary

Addresses

Primary practice location

300 Flatbush Ave
Brooklyn, NY 11217-2812

Mailing address

1026 E 59TH St
Brooklyn, NY 11234-2506
Phone (347) 312-2249

Other names 1

  • Cressada Theresa Glean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
003773NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Center for Psychotherapy,Inc. PastSince Apr 16, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285832584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342506",
            "telephone_number": "347-312-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172812",
            "telephone_number": "718-622-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEAN-BRILLANT",
        "first_name": "CRESSADA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MA,LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRESSADA",
            "last_name": "GLEAN",
            "middle_name": "THERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.