NPIMap

Organization Active NPI

Bronx Addiction Treatment Center

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1013099498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRONX ADDICTION TREATMENT CENTER
Practice address
1500 Waters Place
Building 13 Bronx Psychiatric Center
Bronx, NY 10461-2723
Phone
(718) 904-0026
Fax
(718) 823-2048
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael A Lawler
Title
Associate Commissioner Division of
Phone
(518) 457-5312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

1500 Waters Place
Building 13 Bronx Psychiatric Center
Bronx, NY 10461-2723

Mailing address

1500 Waters Place
Building 13 Bronx Psychiatric Center
Bronx, NY 10461-2723
Phone (718) 904-0026

Other identifiers 1

IdentifierTypeStateIssuer
01423409MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Daniel a Spengler269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

1500 Waters Pl
Bldg 13
Bronx, NY 10461
Phone (718) 904-0026

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013099498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS PLACE",
            "address_2": "BUILDING 13 BRONX PSYCHIATRIC CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "718-904-0026",
            "fax_number": "718-823-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PLACE",
            "address_2": "BUILDING 13 BRONX PSYCHIATRIC CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "718-904-0026",
            "fax_number": "718-823-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX ADDICTION TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSOCIATE COMMISSIONER DIVISION OF",
        "authorized_official_telephone_number": "518-457-5312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01423409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.