Candida Cartagena

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P91042 Issued in NY

Practice address

629 W 185TH St
3Rd Floor
New York, NY 10033-3102

Phone

(212) 543-3500

Fax

(212) 568-0051

NPI assigned

Oct 30, 2013

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Fernando Taveras, MD PCGroup PAC ID 7416930078, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fernando Taveras, MD PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1659578839
  Medicare reassignment Care Compare group NPD
• Mih Experience LTD

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
  • NPI 1124423520
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1467880492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 IRVING ST",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051229",
            "telephone_number": "212-543-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-543-3500",
            "fax_number": "212-568-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAGENA",
        "first_name": "CANDIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P91042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Patricia Carson, NP
• Rachel Cristina Carson
• Ryan Mitchell Carson, MD
• Teresa Catherine Carson, MD
• Amanda Yvette Cartagena, LCSW
• Alma Jackson Carten, LCSW
• Carter Burden Center
• Tonya Carter-Gambardella, RN
• Alexandra L Carter-Huffman, LMSW
• Danielle Rhonda Carter-McClean

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.