Dolores M Manigault

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

36391 Issued in NY

Practice address

141 S 3Rd St
Brooklyn, NY 11211-5509

Phone

(718) 384-6400

Fax

(718) 388-1651

NPI assigned

Mar 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Regreso, Inc.

  • Substance Abuse Rehabilitation Facility
  • Brooklyn, NY
  • NPI 1760675359
  NPD

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1881445112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 175TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575859",
            "telephone_number": "718-960-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115509",
            "telephone_number": "718-384-6400",
            "fax_number": "718-388-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGAULT",
        "first_name": "DOLORES",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "36391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manhattan Speech Language & Literacy
• Aryeh Michael Manheim
• Vijay John Mani, MD
• Diana Maniaci, M.S., CCC-SLP
• Charlynn C Maniatis, M.D.
• Julia Manikas, MSED
• Mian Zahir Maniky, D.D.S
• Hope Elizabeth Manion, PA-C
• Manipal Drugs Inc
• Manira Chowdhury Medical Care P C

• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.