Clarence Phibert

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

694 Beach 20TH St
Far Rockaway, NY 11691-3502

Phone

(718) 634-3445

Fax

(718) 634-3455

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1477283307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913502",
            "telephone_number": "718-634-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913502",
            "telephone_number": "718-634-3445",
            "fax_number": "718-634-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIBERT",
        "first_name": "CLARENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Flushing",
            "affiliation": "N",
            "endpointDescription": "Outpatient",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Behavioral health",
            "address_1": "694 Beach 20th St",
            "city": "Far Rockaway",
            "state": "NY",
            "country_code": "US",
            "postal_code": "116913502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aishia D(929) 318-4063 Perry
• Lisa Persad, PHD, PMHNP-BC
• Tessy Peter, MD
• Sharon Beverly Peters, LICENSED PRACTICAL N
• Zahava Rina Pfeffer, MS
• Esther Philippou, MD
• Nercie Philistin Jr.
• Juliana Piarulli, LMSW
• Shaquanna Kristal Picton
• Tyena Savon Pierce

• Mental Health Counselor in Far Rockaway, NY
• Providers in Far Rockaway, 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 Jun 14, 2022; 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.