PHYLLIS IDA COACHMAN LCSWR
NPI 1689764953
Counselor - Mental Health in Brooklyn, NY

Active since October 14, 2006
30 3RD AVE, BROOKLYN, NY 11217(718) 858-4626 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Ida Coachman Lcswr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS IDA COACHMAN LCSWR (NPI 1689764953) is an individual mental health provider in Brooklyn, New York, licensed in New York (R045079-1) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689764953
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS IDA COACHMANCredential: LCSWR
Location Address30 3RD AVEBrooklyn, NY 11217-1822
Mailing Address30 Sky LnStaten Island, NY 10304-4656 · (718) 442-3072
Sole ProprietorYes
Enumeration DateOctober 14, 2006
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
NPI 1689764953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · R045079-1
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License R045079-1 (NY)
30 3RD AVE, Brooklyn, NY 11217

Other Identifiers 4

OtherN3L821NY · Empire Blue Cross Blue Sh
Medicaid01917757NY
Other162839PNY · Hip
OtherP2836968NY · Oxford

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
30 3RD AVE, 209
BROOKLYN, NY 11217
Social Worker (Clinical)
30 3RD AVE, APT. 1112
BROOKLYN, NY 11217
Psychoanalyst
30 3RD AVE
BROOKLYN, NY 11217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Coachman's NPI number?

The NPI number for Phyllis Coachman is 1689764953. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Where is Phyllis Coachman located?

Phyllis Coachman practices at 30 3rd Ave, Brooklyn, NY 11217. The listed phone number is (718) 858-4626.

What is Phyllis Coachman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Phyllis Coachman accept?

Health plans from Providence Health Plan list Phyllis Coachman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phyllis Coachman was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.