Individual provider Active NPI

Shallima Ali Downes

  • Behavior Technician
  • Whitestone, NY
National Provider Identifier
1386309987
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1408B Clintonville St
Whitestone, NY 11357-1861
Phone
(516) 780-0770
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1408B Clintonville St
Whitestone, NY 11357-1861

Mailing address

1408B Clintonville St
Whitestone, NY 11357-1861
Phone (516) 780-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Coon Hollow Rd
Lloyd Harbor, NY 11743-9723

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quartet Behavioral Spectrum Services CurrentSince Apr 6, 2023 Accepting new patients

Locations

1408B Clintonville St
Whitestone, NY 11357
Phone (516) 780-0770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1386309987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408B CLINTONVILLE ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571861",
            "telephone_number": "516-780-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408B CLINTONVILLE ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571861",
            "telephone_number": "516-780-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNES",
        "first_name": "SHALLIMA",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.