Individual provider Active NPI

Dwayne Alexander Warner Jr., NYCPS-4938

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1609693456
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NYCPS-4938 Issued in NY
Practice address
213 W 35TH St Ste 302
New York, NY 10001-0216
Phone
(212) 576-4121
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NYCPS-4938 NY Primary

Addresses

Primary practice location

213 W 35TH St Ste 302
New York, NY 10001-0216

Mailing address

213 W 35TH St Ste 302
New York, NY 10001-0216
Phone (212) 576-4121

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.pgcmh.org/ Direct Postgraduate Center for Mental Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NYCPS-4938NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1609693456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W 35TH ST STE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010216",
            "telephone_number": "212-576-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W 35TH ST STE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010216",
            "telephone_number": "212-576-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DWAYNE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NYCPS-4938",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "NYCPS-4938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.pgcmh.org/",
            "affiliation": "Y",
            "affiliationName": "Postgraduate Center for Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "213 W 35th St Ste 302",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100010216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.