Active NPI
Qui-Shayne Riddick, CAMS
- Counselor
- Bronx, NY
National Provider Identifier
1649064304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10328
- Practice address
- 5540 Mosholu Ave
Bronx, NY 10471-2423 - Phone
- (718) 974-3939
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10328 | GA | Primary |
Addresses
Primary practice location
5540 Mosholu Ave
Bronx, NY 10471-2423
Mailing address
PO Box 132
Henryville, PA 18332-0132
Phone (718) 974-3939
Other practice location 1
1 Larkin Ctr
Yonkers, NY 10701-7044
Phone (718) 974-3939
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10328 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1649064304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "HENRYVILLE",
"state": "PA",
"postal_code": "183320132",
"telephone_number": "718-974-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 MOSHOLU AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712423",
"telephone_number": "718-974-3939"
}
],
"practiceLocations": [
{
"address_1": "1 Larkin Ctr",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107017044",
"country_code": "US",
"telephone_number": "718-974-3939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDDICK",
"first_name": "QUI-SHAYNE",
"credential": "CAMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "10328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.