Organization Active NPI

Empowermenthealth.LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring Valley, NY
National Provider Identifier
1306435342
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 15, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.