Phyllis Kandell, C.A.S.A.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9318 Issued in NY

Practice address

16 Westchester SQ
Bronx, NY 10461-3513

Phone

(718) 822-1217

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649486663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 EDISON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614070",
            "telephone_number": "718-829-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613513",
            "telephone_number": "718-822-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDELL",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "C.A.S.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arailym Kamzabek, MD
• Madhusudhana Kanagala, MD
• Atara Kanarfogel
• Holly Elizabeth Kanavy, D.O.
• Prakash Surya Kancherla, MD
• Karunadevi Kandiah, M.D.
• Grigoriy Kandkhorov, PHARM D
• Adji M Kane I
• Brianna Ashley Kane, MASTERS DEGREE
• Christine Kelly Kane, M.S. CCC-SLP, TSSLD

• Addiction (Substance Use Disorder) Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.