KATIA ROSE DERGHAM (NPI# 1356932214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356932214 |
| Entity Type | Individual |
| Full Name | KATIA ROSE DERGHAM |
| Gender | Female |
| Credential | CGC |
| Practice Address | 3959 Broadway # Chn7 New York NY 10032-1559 |
| Practice Telephone | 2123056731 |
| Mailing Address | 3959 Broadway # Chn7 New York NY 10032-1559 |
| Mailing Telephone | 2123056731 |
| Certification Date | 2021-02-02 |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address | 3959 BROADWAY # CHN7 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538750260 | Meredith Ross | Genetic Counselor, MS | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-01-26 |
| 1235720335 | Carli Andrews | Genetic Counselor, MS | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-02-01 |
| 1659962637 | Elana Michelle Spitz | Genetic Counselor, MS | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-02-01 |
| 1083205793 | Sara M Berger | Genetic Counselor, MS | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-01-27 |
| 1467679274 | Kate Buzzi | Pediatrics | 3959 Broadway # Chn702, Morgan Stanley Childrens Hospital, Pediatric Gi Divisio, New York, NY 10032-1559 | 2007-04-20 |
| 1548850332 | Rebecca Hernan | Genetic Counselor, MS | 3959 Broadway # Chn718, New York, NY 10032-1559 | 2021-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790377539 | Julia Wynn | Genetic Counselor, MS | 3959 Broadway # Bn7n718, New York, NY 10032-1559 | 2021-02-03 |
| 1902496615 | Emily Griffin | Genetic Counselor, MS | 3959 Broadway # Bh-7n718, New York, NY 10032-1559 | 2021-01-26 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner · Pediatrics | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1194387712 | Kimberly Alba | Psychologist | 3959 Broadway # Chony6, New York, NY 10032-1559 | 2019-07-03 |
| 1417518051 | Jennie Marie Mcallister-Spector · Jennie Marie Mcallister | Registered Nurse · Pediatrics | 3959 Broadway Rm 229n, New York, NY 10032-1559 | 2019-06-25 |
| 1497226658 | Claire Jacobs-Sims | Nurse Practitioner · Family | 3959 Broadway # Bhs701, New York, NY 10032-1559 | 2018-12-16 |
| 1831683093 | Sabrina Miranda I | Social Worker · Clinical | 3959 Broadway # 803, New York, NY 10032-1559 | 2018-06-20 |
| 1205328077 | Leyla Tabanfar | Genetic Counselor, MS | 3959 Broadway # Bhn718, New York, NY 10032-1559 | 2018-06-06 |
| 1992228654 | Amber Marie Scherf | Nurse Practitioner · Neonatal | 3959 Broadway Dept Of, New York, NY 10032-1559 | 2017-07-24 |
| Find all providers in zip 10032-1559 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528659448 | Lori Quinn Dannheim · Lori Quinn | Physical Therapist · Neurology | 710 W 168th St., Neurological Institute, New York, NY 10032 | 2021-02-02 |
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'Neil | Physical Therapist · Pediatrics | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | 161 Fort Washington Ave 6th Tower. Columbus Heart and V, New York Presbyterian /Wilbur University Medical Center, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-Presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790377539 | Julia Wynn | 3959 Broadway # Bn7n718, New York, NY 10032-1559 | 2021-02-03 | |
| 1538750260 | Meredith Ross | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-01-26 | |
| 1902496615 | Emily Griffin | 3959 Broadway # Bh-7n718, New York, NY 10032-1559 | 2021-01-26 | |
| 1548850332 | Rebecca Hernan | 3959 Broadway # Chn718, New York, NY 10032-1559 | 2021-01-25 | |
| 1013575802 | Sarah Ellen Reiss | 210 E 68th St Ste 1d, New York, NY 10065-6024 | 2019-06-05 | |
| 1700351749 | Catherine Kentros | 523w 156th Apt2c, New York, NY 10032 | 2018-10-05 | |
| 1205328077 | Leyla Tabanfar | 3959 Broadway # Bhn718, New York, NY 10032-1559 | 2018-06-06 | |
| 1518477728 | Elizabeth Torosian Bazinet | 1000 10th Ave Ste 11a-08d, New York, NY 10019-1147 | 2017-10-03 | |
| 1184154924 | Megan Elizabeth Soucy | 635 W 165th St Rm 5-525, New York, NY 10032-3724 | 2017-06-14 | |
| 1245687920 | Pwn Health, LLC | 123 W 118th St, New York, NY 10026-1807 | 2016-05-23 | |
| Find all providers in NEW YORK | ||||
| City | NEW YORK |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396022703 | Dergham Dergham | Dentist · Pediatric Dentistry | 4785 Leavitt Rd, Lorain, OH 44053-2136 | 2011-11-14 |
| 1356636708 | Dergham Zahir Alzubaidy · Dergham Zahir Mohammed | Internal Medicine | 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 | 2011-06-14 |
| 1255892485 | Katia Rose Schmitt | Behavior Analyst | 2620 Stein Blvd Ste B, Eau Claire, WI 54701-2674 | 2019-03-29 |
| 1497015424 | Katia Ann Kerkhoff · Katia Ann Grenell | Social Worker · Clinical | 5255 Members Pkwy Nw, Rochester, MN 55901 | 2012-05-24 |
| 1134513476 | Katia Gamez · Katia Camas | Licensed Vocational Nurse | 400 W Visalia Rd, Suite B, Farmersville, CA 93223-1868 | 2015-03-25 |
| 1396767521 | Katia Gom Santos · Katia Coxhead | Physical Medicine & Rehabilitation | 12440 Cortez Blvd, Spring Hill, FL 34613 | 2006-07-24 |
| 1548617723 | Katia Sanchez-Francisco · Katia Sanchez | Family Medicine | 1701 Cesar E Chavez Ave Ste 230, White Memorial Medical Center, Los Angeles, CA 90033-0033 | 2016-05-18 |
| 1700103801 | Katia Aurora Tallarico · Katia Tallarico | Counselor · Mental Health | 116 John St, 27th Floor, New York, NY 10038-3300 | 2010-04-28 |
| 1013016930 | Bachar Dergham | Internal Medicine · Hematology & Oncology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-09-21 |
| 1083942270 | Katia Christine Korte · Katia Christine De Melo | Internal Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2009-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.