Individual provider Active NPI

Devika Llolanda Vigilance, PH. D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1730710112
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1228 E 84TH St FL 1
Brooklyn, NY 11236-4912
Phone
(347) 424-2681
Fax
(718) 439-0648
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 10682781 NY
Specialist 174400000X NY Primary

Addresses

Primary practice location

1228 E 84TH St FL 1
Brooklyn, NY 11236-4912

Mailing address

1228 E 84TH St FL 1
Brooklyn, NY 11236-4912
Phone (347) 424-2681

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10682781NYMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stabilizing the Mind Inc CurrentSince Feb 11, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730710112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 E 84TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364912",
            "telephone_number": "347-424-2681",
            "fax_number": "718-439-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E 84TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364912",
            "telephone_number": "347-424-2681",
            "fax_number": "718-439-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGILANCE",
        "first_name": "DEVIKA",
        "middle_name": "LLOLANDA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "10682781",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.