Organization Active NPI

Equip Health Medical Ny PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1851980544
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jan 16, 2021

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)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL www.equip.health

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.