Organization Active NPI

B Well With Brooke LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
National Provider Identifier
1467076968
Registry record updated Jun 1, 2020
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
B WELL WITH BROOKE LLC
Practice address
3750 Hudson Manor Ter Apt 1Ae
Bronx, NY 10463-1167
Phone
(917) 232-5990
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Brooke Michal EnglishNPI 1063881910
Title
Sole Proprietor
Phone
(917) 232-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3750 Hudson Manor Ter Apt 1Ae
Bronx, NY 10463-1167

Mailing address

3750 Hudson Manor Ter Apt 1Ae
Bronx, NY 10463-1167
Phone (917) 232-5990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1467076968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 HUDSON MANOR TER APT 1AE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631167",
            "telephone_number": "917-232-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 HUDSON MANOR TER APT 1AE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631167",
            "telephone_number": "917-232-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B WELL WITH BROOKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "MICHAL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "917-232-5990"
    },
    "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 Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.