Woodhull Medical and Mental Health Center

Primary specialty

Music TherapistTaxonomy code 225A00000X

Legal business name

WOODHULL MEDICAL AND MENTAL HEALTH CENTER

Practice address

760 Broadway
Brooklyn, NY 11206

Phone

(718) 963-5710

NPI assigned

Jan 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Frank Douglas Wagner, MA,LCAT,NRMTNPI 1750652871

Title

Senior Rehab Counselor

Phone

(718) 963-5710

Specialties & licenses 1

Addresses

Practitioners 1

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

• Frank Douglas Wagner, MA, CMT, NRMT, LCAT

  • Mental Health Counselor
  • New York, NY
  • NPI 1750652871
  NPD (past) Authorized official

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972656981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 98TH ST APT 8BF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255563",
            "telephone_number": "212-316-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "SENIOR REHAB COUNSELOR",
        "authorized_official_telephone_number": "718-963-5710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,LCAT,NRMT"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodhull Medical & Mental Health Center
• Woodhull Medical &Mental Health Center
• Woodhull Medical and Mental Health Center
• Woodhull Medical and Mental Health Center
• Woodhull Medical and Mental Health Center
• Woodhull Medical Care PC
• Woodhull Medical Center
• Woodhull Medical Center
• Woodhull Medical Center
• Woodhull Medical Center

• Music Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Music Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.