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THE CHILD CENTER OF NY INC. NPI 1467622423


NPI Information

NPI: 1467622423
Provider Name: THE CHILD CENTER OF NY, INC.

Other Name: WAIVER PROGRAM

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6002 QUEENS BLVD
WOODSIDE, NY
ZIP 11377
Phone: (718) 651-7770
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THE CHILD CENTER OF NY, INC. is a community behavioral health in Woodside, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THE CHILD CENTER OF NY, INC. NPI is 1467622423. The provider is registered as an organization entity type.
The provider Other Name Is Waiver Program.

The provider's business location address is:

6002 QUEENS BLVD
WOODSIDE, NY
ZIP 11377-973
Phone: (718) 651-7770
Fax: (718) 396-8349

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 3/6/2008 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
1251S00000XCommunity/Behavioral 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
102882108MEDICAIDNEW 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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