Sealight Coalition

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

268153 Issued in NY

Legal business name

SEALIGHT COALITION

Practice address

26 Court St
2011
Brooklyn, NY 11242-0103

Phone

(718) 624-3192

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Mariam Garuba, M.D.

Title

Founder

Phone

(973) 908-5642

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1871956573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "718-624-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "2011",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "718-624-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEALIGHT COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "GARUBA",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "973-908-5642",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "268153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275748261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Angelique Seales-Bailey, RPA-C
• Keianna Sealey
• Larhonde Sealey, OTR/L
• Lejeune Sealey
• Maxine Sealey, FNP
• Briana S Seals, LPN
• Ashley Antonia Sealy
• Heather G Sealy, MD
• Juliette Sealy
• Petra Sealy, PA

• Prescribing (Medical) Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Prescribing (Medical) Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.