Provider Demographics
NPI:1578187910
Name:DIFFERENT APPROACH THERAPY INC.
Entity Type:Organization
Organization Name:DIFFERENT APPROACH THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSENBURY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:917-371-0389
Mailing Address - Street 1:2727 HENRY HUDSON PKWY APT 208
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4740
Mailing Address - Country:US
Mailing Address - Phone:917-371-0389
Mailing Address - Fax:
Practice Address - Street 1:2727 HENRY HUDSON PKWY APT 208
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4740
Practice Address - Country:US
Practice Address - Phone:917-371-0389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty