Kimberly M Persaud, DBA,MS is a
Early Intervention Provider Agency based in New York, New York. Kimberly M Persaud is licensed to practice in New York (license number ) and her current practice location is
115 E 23rd St Fl 9, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 600-9463.
NPI number for Kimberly M Persaud is 1053078444 and her current mailing address is 723 Essex St, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053078444.
Healthcare Provider's Profile
| Full Name | Kimberly M Persaud |
|---|
| Gender | Female |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 115 E 23rd St Fl 9, New York, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053078444
- Provider Enumeration Date: 11/21/2021
- Last Update Date: 08/15/2023
Medical Identifiers
Medical identifiers for Kimberly M Persaud such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053078444 | NPI | - | NPPES |
| ZJ84485V | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (New York) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (New York) | Secondary |
| 103TC1900X | Psychologist - Counseling | (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (New York) | Secondary |
| 103TF0000X | Psychologist - Family | (New York) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (New York) | Secondary |
| 251B00000X | Case Management | (New York) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly M Persaud is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly M Persaud, DBA,MS
723 Essex St,
Brooklyn, NY 11208-4407
Ph: (646) 725-6271 | Kimberly M Persaud, DBA,MS
115 E 23rd St Fl 9,
New York, NY 10010-4559
Ph: (347) 600-9463 |
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