Start Where You Stand, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

25853 Issued in NY

Legal business name

START WHERE YOU STAND, INC.

Practice address

14502 123Rd Ave
Private
South Ozone Park, NY 11436-1618

Phone

(718) 764-9742

NPI assigned

Mar 30, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Krystal Avis Black, CASAC

Title

Executive Director of Operations

Phone

(718) 764-9742

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1003348939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 123RD AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361618",
            "telephone_number": "718-764-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 123RD AVE",
            "address_2": "PRIVATE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361618",
            "telephone_number": "718-764-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START WHERE YOU STAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "AVIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "718-764-9742",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NY",
            "license": "25853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Children's Substance Abuse Rehabilitation Facility in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Children's Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.