Revelation Pilgrim Mental Health Services

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

EXEMPT PRACTITIONER Issued in NY

Legal business name

REVELATION PILGRIM MENTAL HEALTH SERVICES

Practice address

14932 83Rd St
Suite 100
Howard Beach, NY 11414-1207

Phone

(347) 623-2110

Fax

(877) 278-5969

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raymond H Rufen-Blanchette, DD; PHD

Title

President/Ceo/Director

Phone

(347) 623-2110

Specialties & licenses 13

Addresses

Other names 1

• Revelation Pilgrim Mental Health Doing business as

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1487981080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14932 83RD ST",
            "address_2": "SUITE 100",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141207",
            "telephone_number": "347-623-2110",
            "fax_number": "877-278-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14932 83RD ST",
            "address_2": "SUITE 100",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141207",
            "telephone_number": "347-623-2110",
            "fax_number": "877-278-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION PILGRIM MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "RUFEN-BLANCHETTE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CEO/DIRECTOR",
        "authorized_official_telephone_number": "347-623-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DD; PHD"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "EXEMPT PRACTITIONER",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revelation Pilgrim Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shivani Rameshwar
• Stephanie Prudence Ramgoolam
• Tara Devi Ramrattan
• Samer Rashad
• Christina Reich-Murray, LMSW
• Susan Reyes, MSHS
• Richard S. Berry MDPC
• Stephanie Richard-Sanders
• Daniel Riegel, M.D.
• Norman Riegel, M.D., F.A.C.C.

• Pastoral Counselor in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Pastoral Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.