| Takiysha Mcleod-ballard, | |
|
726 Quincy St Fl 4, Brooklyn, NY 11221-2210 | |
| (347) 826-6167 | |
| (917) 397-3520 |
| Full Name | Takiysha Mcleod-ballard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 726 Quincy St Fl 4, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073974143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401983 (New York) | Primary |
| Entity Name | Brooklyn Center For Psychotherapy, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275516213 PECOS PAC ID: 9436041621 Enrollment ID: O20040324001708 |
| Entity Name | Housing Works Services Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083647101 PECOS PAC ID: 7911179627 Enrollment ID: O20110930000154 |
| Entity Name | Housing Works Health Services Iii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114950151 PECOS PAC ID: 7113199852 Enrollment ID: O20110930000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Takiysha Mcleod-ballard, 32 W Dean St, Freeport, NY 11520-2106 Ph: (917) 757-2596 | Takiysha Mcleod-ballard, 726 Quincy St Fl 4, Brooklyn, NY 11221-2210 Ph: (347) 826-6167 |
Lucinda T Langenkamp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 94 Manhattan Ave, Brooklyn, NY 11206 Phone: 718-388-0390 | |
Samantha Kilkenny, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 156 Henry St, Brooklyn, NY 11201 Phone: 718-237-5001 | |
Vivien Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6300 8th Ave, Brooklyn, NY 11220 Phone: 718-765-2700 | |
Ms. Izehi Agenmonmen Eromosele, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 539 Vandalia Ave, Brooklyn, NY 11239 Phone: 718-642-3213 | |
Hui-min Feng, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6010 Bay Pkwy Ste 901, Brooklyn, NY 11204 Phone: 718-748-0863 | |
Miss Rose Natania Francois, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Sutter Ave, Brooklyn, NY 11212 Phone: 718-765-6550 Fax: 347-620-9739 | |
Viletha Small-clarke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 53rd St, Brooklyn, NY 11203 Phone: 347-982-3034 |