SHANTA KERINA PAMPHILE MA NPI 1295270791

NPI Information

NPI: 1295270791
Provider Name: SHANTA KERINA PAMPHILE, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5676 RIVERDALE AVE
SUITE 202
BRONX, NY
ZIP 10471
Phone: (718) 796-5300
Get Directions

Shanta Kerina Pamphile, MA is a mental health counselor in Bronx, NY. Shanta Kerina Pamphile, MA NPI is 1295270791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5676 RIVERDALE AVE
SUITE 202
BRONX, NY
ZIP 10471-138
Phone: (718) 796-5300

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	18P01042	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18P01042	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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