Organization Active NPI

The Salvation Army

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1023285186
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE SALVATION ARMY
Practice address
601 Crescent Ave
Bronx, NY 10458-8245
Phone
(718) 529-5410
Fax
(718) 329-5409
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Michael John Southwick
Title
Secretary
Phone
(845) 620-7329

Specialties & licenses 1

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

Addresses

Primary practice location

601 Crescent Ave
Bronx, NY 10458-8245

Mailing address

440 West Nyack Road
PO Box C-635
West Nyack, NY 10994-1739
Phone (845) 620-7200

Other practice location 1

120 W 14th St
New York, NY 10011-7301
Phone (212) 337-7433

Other identifiers 1

IdentifierTypeStateIssuer
05174410MedicaidNY

National Provider Directory

National Provider Directory

Locations

601 Crescent Ave
Bronx, NY 10458
Phone (718) 329-5410

120 W 14th St
New York, NY 10011
Phone (212) 337-7433

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1023285186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WEST NYACK ROAD",
            "address_2": "PO BOX C-635",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941739",
            "telephone_number": "845-620-7200",
            "fax_number": "845-620-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CRESCENT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588245",
            "telephone_number": "718-529-5410",
            "fax_number": "718-329-5409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117301",
            "country_code": "US",
            "telephone_number": "212-337-7433",
            "fax_number": "212-337-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "845-620-7329"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05174410",
            "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 Feb 5, 2019; 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.