United Cerebral Polsy

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0028151 Issued in NY

Legal business name

UNITED CEREBRAL POLSY

Practice address

121 Lake St
Brooklyn, NY 11223-2734

Phone

(718) 645-6454

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Pradieu, PTA

Title

Pta

Phone

(718) 645-6454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023212818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MARTENSE ST APT C7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264225",
            "telephone_number": "718-484-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LAKE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232734",
            "telephone_number": "718-645-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL POLSY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRADIEU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "718-645-6454",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "0028151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Cerebral Palsy of New York City Inc
• United Cerebral Palsy of New York City Inc
• United Cerebral Palsy of New York City, Inc.
• United Cerebral Palsy of Nyc
• United Cerebral Palsy of Nys
• United Community Services, Inc.
• United Consulting Services LCSW PLLC
• United Dental Services of Ny
• United Diagnostic Imaging PC
• United Diagnostic Services LLC

• Intellectual Disabilities Intermediate Care Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Intellectual Disabilities Intermediate Care Facility 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.