Active NPI
Empowermenthealth.LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spring Valley, NY
National Provider Identifier
1306435342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EMPOWERMENTHEALTH.LLC
- Practice address
- 11 Park Street
Spring Valley, NY 10977-3933 - Phone
- (845) 826-4272
- NPI assigned
- Jan 14, 2021
- 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
- Mr. Moise Kenneth Belizaire, PMHNP
- Title
- Mental Health Nurse Practitioner
- Phone
- (914) 227-2048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
11 Park Street
Spring Valley, NY 10977-3933
Mailing address
11 Park Street
Spring Valley, NY 10977-3933
Phone (845) 826-4272
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618444800000",
"number": "1306435342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARK STREET",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109773933",
"telephone_number": "845-826-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PARK STREET",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109773933",
"telephone_number": "845-826-4272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERMENTHEALTH.LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-14",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A",
"authorized_official_last_name": "BELIZAIRE",
"authorized_official_first_name": "MOISE",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "MENTAL HEALTH NURSE PRACTITIONER",
"authorized_official_telephone_number": "914-227-2048",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.