INNOVATIVE CAREER CENTER LLC NPI 1891067377

NPI Information

  • NPI: 1891067377
  • Provider Name: INNOVATIVE CAREER CENTER LLC
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 116 W 23RD ST
    #206, 5TH FLOOR
    NEW YORK, NY
    ZIP 10011
  • Phone: (917) 445-6323

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NPI Details

INNOVATIVE CAREER CENTER LLC is an intellectual and developmental disabilities in New York, NY. INNOVATIVE CAREER CENTER LLC NPI is 1891067377. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

116 W 23RD ST
#206, 5TH FLOOR
NEW YORK, NY
ZIP 10011-599
Phone: (917) 445-6323
Fax: (212) 313-9439

The provider's authorized official is Rosa Nelly Lavergne .
The authorized official title is Owner and has the following contact phone number (917) 445-6323.

The enumeration date for this NPI number is 1/31/2012 and was last updated on 1/31/2012.

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
1103TR0400XPsychologistRehabilitation37RT00288300NEW JERSEYNo
2103TM1800XPsychologistIntellectual and Developmental Disabilities000351-1NEW YORKYes

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: 11/21/2025

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