Innovative Career Center LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

000351-1 Issued in NY

Legal business name

INNOVATIVE CAREER CENTER LLC

Practice address

116 W 23Rd St
#206, 5TH Floor
New York, NY 10011-2599

Phone

(917) 445-6323

Fax

(212) 313-9439

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Rosa Nelly Lavergne, PH.D.NPI 1033411681

Title

Owner

Phone

(917) 445-6323

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosa N Lavergne, PH.D.

  • Mental Health Counselor
  • Teaneck, NJ
  • NPI 1033411681
  NPD (past) Authorized official

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1891067377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 EDGEMONT TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663404",
            "telephone_number": "917-445-6323",
            "fax_number": "212-313-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST",
            "address_2": "#206, 5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "917-445-6323",
            "fax_number": "212-313-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CAREER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "LAVERGNE",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "NELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-445-6323",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "000351-1",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "NJ",
            "license": "37RT00288300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan L Innes, OD
• Vanessa Pabon Innes, NP
• Rhaven Nikole Innis
• Zorana Tamara Innis
• Innovative Approach Physical Therapy PC
• Innovative Healthcare Physicians, P.C.
• Innovative Healthcare Systems, Inc.
• Innovative Medical Concepts P.C.
• Innovative Medical Diagnostic Care PC
• Innovative Medical Diagnostic Care, PC

• Intellectual & Developmental Disabilities Psychologist in New York, NY
• Providers in New York, NY by specialty
• Intellectual & Developmental Disabilities Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.