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THE CHILD CENTER OF NY NPI 1730337049


NPI Information

NPI: 1730337049
Provider Name: THE CHILD CENTER OF NY

Other Name: IS 59

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

Specialization: Adolescent and Children Mental Health

Address:
18998 RIDGEDALE ST
ROOM 116C
SPRINGFIELD GARDENS, NY
ZIP 11413
Phone: (718) 659-4000
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THE CHILD CENTER OF NY is an adolescent and children mental health clinic center in Springfield Gardens, 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 NPI is 1730337049. The provider is registered as an organization entity type.
The provider Other Name Is Is 59.

The provider's business location address is:

18998 RIDGEDALE ST
ROOM 116C
SPRINGFIELD GARDENS, NY
ZIP 11413
Phone: (718) 659-4000

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

The enumeration date for this NPI number is 8/29/2008 and was last updated on 8/29/2008.


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
1261QM0855XClinic/CenterAdolescent and Children Mental Health6734122FNEW YORKYes

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
100244371MEDICAIDNEW YORK
27403085OTHERNEW YORKGHI
3WV0071OTHERNEW YORKBLUE CROSS/BLUE SHIELD

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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