Active NPI
Hermina Dan
- Social Worker
- Brooklyn, NY
National Provider Identifier
1346555075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 085629
- Practice address
- 18 Middleton St
Brooklyn, NY 11206-5415 - Phone
- (718) 875-6900
- Fax
- (718) 875-3282
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 434299 | NY | |
| Social Worker | 104100000X | 085629 | NY | Primary |
Addresses
Primary practice location
18 Middleton St
Brooklyn, NY 11206-5415
Mailing address
18 Middleton St
Brooklyn, NY 11206-5415
Phone (718) 875-6900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434299 | NY | MD | School Psychologist |
| 085629 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1346555075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MIDDLETON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065415",
"telephone_number": "718-875-6900",
"fax_number": "718-875-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MIDDLETON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065415",
"telephone_number": "718-875-6900",
"fax_number": "718-875-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAN",
"first_name": "HERMINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "434299",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "085629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.