Chinnachart Poola-Or

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P115493 Issued in NY

Practice address

276 5TH Ave
New York, NY 10001-4509

Phone

(212) 920-1976

NPI assigned

Jun 6, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1902535073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 32ND ST # 2R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052344",
            "telephone_number": "917-647-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "212-920-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 32nd St # 2R",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111052344",
            "country_code": "US",
            "telephone_number": "917-647-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLA-OR",
        "first_name": "CHINNACHART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P115493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taciana Pontier
• Brenda Jean Pontillo, NP
• Allison Teresa Pontius, M.D.
• Fabio Ponzo, M.D.
• Pooja Sheth MD, PLLC
• Doran Pooladi
• Elizabeth A Poole-Di Salvo, M.D.
• Dwayne Poole-Seymour, PHD
• Brian David Poole, D.C.
• Cara Nicole Poole, PT, DPT

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Jun 6, 2022; 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.