1487943833 NPI number — MRS. LORRAINE CHASTANT LMFT

Table of content: MRS. HEGLA YAKELINE FIELDING NURSE PRACTITIONER (NPI 1801414669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487943833 NPI number — MRS. LORRAINE CHASTANT LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHASTANT
Provider First Name:
LORRAINE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487943833
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
74 GATES DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PATTERSON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12563-1313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-906-5940
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 WESTCHESTER AVE
Provider Second Line Business Practice Location Address:
SUITE E-106
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10604-2910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-337-0035
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)