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THE CHILD CENTER OF NY INC. NPI 1053460998


NPI Information

NPI: 1053460998
Provider Name: THE CHILD CENTER OF NY, INC.

Other Name: ASIAN CLINIC (2)

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
14015B SANFORD AVE
FLUSHING, NY
ZIP 11355
Phone: (718) 358-8288
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THE CHILD CENTER OF NY, INC. is an adolescent and children 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. THE CHILD CENTER OF NY, INC. NPI is 1053460998. The provider is registered as an organization entity type.
The provider Other Name Is Asian Clinic (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 1/9/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WV0071OTHERNEW YORKBLUE CROSS BLUE SHIELD
201312MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
37403085OTHERNEW YORKGHI
400244371MEDICAIDNEW 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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