RISING GROUND. INC NPI 1447607817

NPI Information

NPI: 1447607817
Provider Name: RISING GROUND. INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 33D0959649

Address:
1529 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 794-8700
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RISING GROUND. INC is a mental health (including community mental health center) clinic center in Bronx, NY. RISING GROUND. INC NPI is 1447607817. The provider is registered as an organization entity type.

The provider's business location address is:

1529 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461-502
Phone: (718) 794-8700

The provider's authorized official is Dreisly Villaman .
The authorized official title is Medical Biller and has the following contact phone number (914) 375-8700.

The CLIA number assigned to this NPI record is 33D0959649 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 1/15/2020.

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 State	Primary
1	251B00000X	Case Management		NEW YORK	No
2	251S00000X	Community/Behavioral Health			No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		Yes
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		No

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	00328074	MEDICAID	NEW YORK
2	02495141	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: 11/14/2023

NPI Synchronization or Removal

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