Active NPI
Cordia McDonald
- Case Manager/Care Coordinator
- Mount Vernon, NY
National Provider Identifier
1851044788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 39 Duryea Ave
Mount Vernon, NY 10550-4810 - Phone
- (914) 885-5093
- NPI assigned
- Jan 31, 2022
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
39 Duryea Ave
Mount Vernon, NY 10550-4810
Mailing address
649 Bronx River Rd Apt 3R
Yonkers, NY 10704-1722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Endpoint | Direct | Poised onDemand-Promoting Opulence In Social Emotional Development LLC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poised Ondemand-Promoting Opulence in Social Emotional Development Lim | Current | Accepting new patients | |
| Poised Ondemand-Promoting Opulence in Social Emotional Development LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prevention Professional
- Yonkers, NY
- NPI 1750057477
-
- Case Management Agency
- New York, NY
- NPI 1073157681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1851044788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 BRONX RIVER RD APT 3R",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 DURYEA AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504810",
"telephone_number": "914-885-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CORDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Endpoint",
"affiliation": "Y",
"endpointDescription": "End",
"affiliationName": "Poised onDemand-Promoting Opulence In Social Emotional Development LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "39 Duryea Ave",
"city": "Mount Vernon",
"state": "NY",
"country_code": "US",
"postal_code": "105504810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.