Poised Ondemand-Promoting Opulence in Social Emotional Development Lim

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LIM

Practice address

649 Bronx River Road
3R
Yonkers, NY 10704

Phone

(914) 885-5093

NPI assigned

Aug 22, 2021

Organization subpart

No

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

Authorized official

Name

Miss Raquel Johnson, B.S PSYCHOLOGYNPI 1154710275

Title

Chief Executive Director

Phone

(914) 885-5093

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Poised Ondemand-Promoting Opulence in Social Emotional Development Lim2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Poised Ondemand-Promoting Opulence in Social Emotional Development LLC

  • Case Management Agency
  • New York, NY
  • NPI 1073157681
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raquel Johnson

  • Case Manager/Care Coordinator
  • New York, NY
  • NPI 1154710275

  Health & Wellness Coach

  NPD Authorized official
• Cordia McDonald

  • Case Manager/Care Coordinator
  • Mount Vernon, NY
  • NPI 1851044788
  NPD

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1750057477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 BRONX RIVER ROAD",
            "address_2": "3R",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "914-885-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BRONX RIVER ROAD",
            "address_2": "3R",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "914-885-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-885-5093",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.S PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06368170",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://fts.emedny.org:8443/eMedNYServices/FTService/FTService",
            "affiliation": "N",
            "endpointDescription": "File Transfer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Transit Batch Files",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "File Transfer",
            "address_1": "649 Bronx River Road",
            "address_2": "3R",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delia Estonilo Plaza, PHYSICAL THERAPIST
• Mark Plexousakis, DO
• PLLM Optics, Inc.
• Natalia Pogosian, DO
• Shenikqua Poinsette, COTA/L
• Kwabena A Poku
• Arianna Polanco
• Daniella Marie Polizzi, CCC-SLP
• Henry L. Pollak, D.D.S.
• Stefanie Terese Pollard, PT, DPT

• Prevention Professional in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Prevention Professional in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.