Active NPI
Equip Health Medical Ny PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
National Provider Identifier
1851980544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EQUIP HEALTH MEDICAL NY PC
- Practice address
- 244 Madison Ave # 1176
New York, NY 10016-2817 - Phone
- (619) 350-6290
- Fax
- (619) 436-4739
- NPI assigned
- Jan 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caitlyn Defiore
- Title
- Director Client Operations
- Phone
- (508) 340-1419
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Registered Dietitian | 133V00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
244 Madison Ave # 1176
New York, NY 10016-2817
Mailing address
PO Box 131747
Carlsbad, CA 92013-1747
Phone (619) 350-6290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.equip.health |
National Provider Directory
National Provider DirectoryLocations
244 Madison Ave
#1176
New York, NY 10016
Phone (619) 350-6290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610755200000",
"number": "1851980544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131747",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920131747",
"telephone_number": "619-350-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 MADISON AVE # 1176",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162817",
"telephone_number": "619-350-6290",
"fax_number": "619-436-4739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUIP HEALTH MEDICAL NY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-16",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A",
"authorized_official_last_name": "DEFIORE",
"authorized_official_first_name": "CAITLYN",
"authorized_official_title_or_position": "DIRECTOR CLIENT OPERATIONS",
"authorized_official_telephone_number": "508-340-1419"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.equip.health",
"affiliation": "N",
"address_1": "244 Madison Ave # 1176",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100162817",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.