Smart Integrated Healthcare New York Inc

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

SMART INTEGRATED HEALTHCARE NEW YORK INC

Doing business as

New Beginnings New Rochelle

Practice address

481 Main St Ste 201
New Rochelle, NY 10801-6360

Phone

(570) 622-9101

Fax

(570) 622-9102

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Raheel Siddiqui

Title

Coo

Phone

(856) 264-7024

Specialties & licenses 2

Addresses

Other names 1

• New Beginnings New Rochelle Doing business as

Locations

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1538948823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WHITE HORSE PIKE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214159",
            "telephone_number": "570-622-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 201",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "570-622-9101",
            "fax_number": "570-622-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART INTEGRATED HEALTHCARE NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "856-264-7024"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings New Rochelle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rickie Slade Jr.
• Phyllis L Sloate, PHD
• Cheryl Small Jackson
• Michelle Small, M.D.
• Tiffany Small
• Aisha Smith-Ellis
• Alia Smith, RN
• Ashley Smith, LMSW
• Destiny Smith
• Geniel Smith, LMHC

• Psychiatric/Mental Health Clinical Nurse Specialist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.