St Health de, P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ST HEALTH DE, P.A.

Practice address

809 Broadway FL 12
New York, NY 10003-4701

Phone

(786) 600-3353

Fax

(877) 792-1004

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Edmond Coku

Title

Manager

Phone

(646) 844-2332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1487436457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 24TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 BROADWAY FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034701",
            "telephone_number": "786-600-3353",
            "fax_number": "877-792-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST HEALTH DE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "COKU",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-844-2332"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSS Pharmacy Inc
• Caryn Marie St Clair, M.D.
• Elbert Kyle St Claire III, MD
• Dianna St Fleur, LPN
• Kerna St Fort
• St Health TX, P.a.
• Lori Ann Gough St John
• Lindsey St Jour, NP
• Marie St Juste
• Steve St Juste, AGACNP-BC, CCRN

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.