Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Upper Room AIDS Ministry, Inc Adult Day Health Care Center

Organization Clinical Psychologist · NPI 1417986340

Upper Room AIDS Ministry, Inc Adult Day Health Care Center provides Clinical Psychologist services in New York, New York. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
12
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

169 W 133rd St
New York, NY 10030-3301
Phone: (646) 762-4950
Fax: (646) 762-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123-125 West 124th St, New York, NY 10027-4920 — (212) 531-1300

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Clinical Psychologist Taxonomy 103TC0700X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
General Practice Dentistry Taxonomy 1223G0001X
Psychiatry Physician Taxonomy 2084P0800X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Non-Surgical Family Planning Clinic/Center Taxonomy 261QF0050X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Podiatric Clinic/Center Taxonomy 261QP1100X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1417986340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamisha McPherson — Executive Director · (212) 803-2850
NPI enumeratedJuly 2, 2006
Last updated in NPPESSeptember 5, 2019
Mailing address306 Lenox Avenue, 3rd Floor, New York, NY 10027-4920

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