Alexandra Coleman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088799 Issued in NY

Practice address

286 Madison Ave FL 22
New York, NY 10017-6368

Phone

(415) 360-3833

NPI assigned

Apr 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Octave Psychiatry Behavioral Health PC

  • Psychologist
  • New York, NY
  • NPI 1821573023
  NPD (past)
• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1417703000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 77TH ST APT 2523",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101620028",
            "telephone_number": "551-206-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE FL 22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176368",
            "telephone_number": "415-360-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E 77th St Apt 2523",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101620028",
            "country_code": "US",
            "telephone_number": "551-206-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Agnes Coleburn, PHD
• Norman Hope Coleburn, M.D.
• Ayla C Colella
• Katharine Colella
• Gina Colelli
• Allison Coleman, MS, CF-SLP
• Amanda Coleman
• Amy Coleman, LCSW
• Andrea Coleman, M.D.
• Angelica Coleman, DPT

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.