MEDICARE: DR. TERRENCE RANIER CHISOLM PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1700680543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRENCE RANIER CHISOLM PHD

Provider Business Mailing Address
First Line	:	PO BOX 23321
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-4321
Country	:	US
Telephone Number	:	803-517-2894
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 23321
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087
Country	:	US
Telephone Number	:	803-517-2894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	01/05/2026

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1780680769 — KATHRYN M HUTTENBACH CRNA
Practice Location Address:

100 EAST 77TH STREET
NEW YORK, NY
10087-0001

Practice Phone: 201-804-2800
Practice Fax:

1295731149 — CATHERINE ROSEMARY MCWADE MD
Practice Location Address:

100 EAST 77TH STREET
NEW YORK, NY
10087-0001

Practice Phone: 212-434-2878
Practice Fax:

1720061757 — RACHEL SAUNDERS PULLMAN
Practice Location Address:

10 UNION SQUARE EAST
NEW YORK, NY
10087-0001

Practice Phone: 212-844-8719
Practice Fax:

1689645954 — REGINA L PAKALNIS MD
Practice Location Address:

PO BOX 26960
NEW YORK, NY
10087-6960

Practice Phone: 908-769-1084
Practice Fax: 908-769-4139

1720028400 — DR. PAUL PETER ROSEN M.D.
Practice Location Address:

525 EAST 68TH STREET
NEW YORK, NY
10087

Practice Phone: 646-253-2808
Practice Fax: 212-746-3856

Directions to “ DR. TERRENCE RANIER CHISOLM PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.