Provider Demographics
NPI:1245434992
Name:HOOD, RONALD (CASAC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:HOOD
Suffix:
Gender:M
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WASHINGTON ST
Mailing Address - Street 2:9TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1008
Mailing Address - Country:US
Mailing Address - Phone:212-442-6187
Mailing Address - Fax:212-363-8530
Practice Address - Street 1:2 WASHINGTON ST
Practice Address - Street 2:9TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1008
Practice Address - Country:US
Practice Address - Phone:212-442-6187
Practice Address - Fax:212-363-8530
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12312101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)