Our Lady of Mercy MHC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

071466-1 Issued in NY

Legal business name

OUR LADY OF MERCY MHC

Practice address

4401 BX. Boulevard
Bronx, NY 10470

Phone

(718) 304-7022

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Latondra M Black, LMSW

Title

Therapist

Phone

(718) 304-7022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1023130580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ANDREWS AVE APT 7E4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532814",
            "telephone_number": "718-466-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BX. BOULEVARD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10470",
            "telephone_number": "718-304-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MERCY MHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LATONDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "718-304-7022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "071466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center Outpatient Psychiatric Programs
• Aicha Ourti
• Annamma Ouseph
• Gail Ousley
• Camille Outar, RN
• Outcome Physical Therapy, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.