Icd International Center for the Disabled

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

6704100B Issued in NY

Legal business name

ICD INTERNATIONAL CENTER FOR THE DISABLED

Practice address

421 E 106TH St
New York, NY 10029-4846

Phone

(212) 996-6127

Fax

(212) 828-8453

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Les Halpert, PHD

Title

Ceo

Phone

(212) 585-6009

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• ICD Mental Health Clinic PS 146 Other name

Tax ID family

International Center for the Disabled3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• International Center for the Disabled

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1336449222
  NPD tax ID
• International Center for the Disabled

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1457674921
  NPD tax ID

Locations

Practitioners 1

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

• Alissa Cristina Hernandez, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1841312238
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013112358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6000",
            "fax_number": "212-585-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 106TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294846",
            "telephone_number": "212-996-6127",
            "fax_number": "212-828-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICD INTERNATIONAL CENTER FOR THE DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-585-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "6704100B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244413",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NEW YORK",
            "identifier": "040816000080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMAX-MULTIPLAN",
            "identifier": "A31902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYPRESBY HEALTH PLAN",
            "identifier": "58P0081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1054350",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICD Mental Health Clinic PS 146",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Icare of New York Ipa LLC
• Icare Therapy LLC
• Jose Icasas, PT
• Evelyn J Icasiano, MD
• Icd Center
• Icd International Center for the Disabled
• Icd International Center for the Disabled
• Icd International Center for the Disabled
• Megan Ice, PHD
• Mika Ichihara, L.AC.

• Adolescent and Children Mental Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• 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.