Active NPI
Anthony Bryant, CASAC, ICDAC, SAP
- Addiction (Substance Use Disorder) Counselor
- New York, NY
National Provider Identifier
1649423591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17125
- Practice address
- 1369 Broadway
New York, NY 10018-7200 - Phone
- (718) 536-4913
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17125 | NY | Primary |
Addresses
Primary practice location
1369 Broadway
New York, NY 10018-7200
Mailing address
827 Edward St
North Baldwin, NY 11510-1411
Phone (718) 536-4913
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 |
|---|---|---|---|
| 17125 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1649423591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 EDWARD ST",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101411",
"telephone_number": "718-536-4913",
"fax_number": "718-228-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1369 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187200",
"telephone_number": "718-536-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "ANTHONY",
"credential": "CASAC, ICDAC, SAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "17125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.