Rize-Up Bronx LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RIZE-UP BRONX LLC

Practice address

3033 Godwin Ter Apt 4C
Bronx, NY 10463-5344

Phone

(646) 204-2295

Fax

(855) 257-2380

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Danielle Matias, LMHCNPI 1417372160

Title

Managing Member

Phone

(646) 204-2295

Specialties & licenses 1

Addresses

Other names 1

• Rize-Up Together Doing business as

Electronic endpoints 1

Practitioners 1

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

• Danielle Luz Matias, MA, MHC

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1417372160
  NPD Authorized official

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1962023671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 GODWIN TER APT 4C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635344",
            "telephone_number": "646-204-2295",
            "fax_number": "855-257-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 GODWIN TER APT 4C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635344",
            "telephone_number": "646-204-2295",
            "fax_number": "855-257-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZE-UP BRONX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "MATIAS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-204-2295",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rizeupbronx@outlook.com",
            "affiliation": "N",
            "address_1": "3033 Godwin Ter Apt 4C",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104635344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rize-Up Together",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Boris N Rivkin
• Kir Rivkin, PHARM.D
• Abdullah Riyadh, PHARMD
• Andreea Rizea, DMD
• Christine Rizkalla, MD
• Nadia Rizkallah, DMD
• Hasan Fakhrul Rizvi, RPH
• Sadaf Batool Rizvi, MD

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, 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 May 4, 2020; 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.