Kenrick Gittens, M.A.,B.A.,A.A.,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002648 Issued in NY

Practice address

175 Fulton Ave Ste 500
Hempstead, NY 11550-3724

Phone

(516) 505-2003

Fax

(516) 505-2011

NPI assigned

Apr 12, 2013

Last updated

Apr 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Kenrick Gittens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts, Bachelor of Arts, Master of Arts

State licenses

Practice roles

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.

• Pilgrim Psychiatric Center Nys Case Management

  • Case Management Agency
  • Hempstead, NY
  • NPI 1750620290
  NPD (past)

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1881037471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE STE 500",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503724",
            "telephone_number": "516-505-2003",
            "fax_number": "516-505-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE STE 500",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503724",
            "telephone_number": "516-505-2003",
            "fax_number": "516-505-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTENS",
        "first_name": "KENRICK",
        "name_prefix": "Mr.",
        "credential": "M.A.,B.A.,A.A.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENRICK",
            "last_name": "GITTENS",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol Gilbert-Tuck, LMHC
• Lina Gilic, PH.D.
• Laura G Gilkes, P.T.
• Emmanuella Gilles, RN
• Dodie Gillett, PH.D.
• Willis C Gittens, CNM, FNP-C
• Manibe Atibe Gnama
• Esther Goldberg, RN
• Ira Gary Goldberg, O.D.
• Lena Goldenstein, RPH

• Mental Health Counselor in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.