THE CHILD CENTER OF NY INC. NPI 1053460774

NPI Information

NPI: 1053460774
Provider Name: THE CHILD CENTER OF NY, INC.

Other Name: ASIAN ALCOHOLISM (2)

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
14015B SANFORD AVE
FLUSHING, NY
ZIP 11355
Phone: (718) 358-8288
Get Directions

THE CHILD CENTER OF NY, INC. is an adult mental health clinic center in Flushing, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THE CHILD CENTER OF NY, INC. NPI is 1053460774. The provider is registered as an organization entity type.
The provider Other Name Is Asian Alcoholism (2).

The provider's business location address is:

14015B SANFORD AVE
FLUSHING, NY
ZIP 11355-557
Phone: (718) 358-8288
Fax: (718) 358-5265

The provider's authorized official is Jean M Coppola .
The authorized official title is Director Of Billing and has the following contact phone number (718) 651-7770.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01312	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	7403085	OTHER	NEW YORK	GHI
3	WV0071	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD
4	00244371	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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