Healthcare Provider Details

I. General information

NPI: 1174479505
Provider Name (Legal Business Name): CONTINUUM INTEGRATEDHEALTH - NP IN PSYCHIATRY AND FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 BROADWAY FL 16
NEW YORK NY
10019-1414
US

IV. Provider business mailing address

418 BROADWAY STE N
ALBANY NY
12207-2922
US

V. Phone/Fax

Practice location:
  • Phone: 929-828-8122
  • Fax:
Mailing address:
  • Phone: 929-828-8122
  • Fax: 866-580-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TAKIYAH JONES
Title or Position: FOUNDER/PMHNP/FNP
Credential: DNP, PMHNP-BC, FNP-C
Phone: 929-828-8122