NPIMap

Organization Active NPI

Child Center of New York

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1033467014
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHILD CENTER OF NEW YORK
Practice address
11515 Sutphin Blvd
Jamaica, NY 11434-1020
Phone
(718) 659-4000
NPI assigned
Aug 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Racquel Jones, LMSW
Title
Therapist
Phone
(718) 659-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11515 Sutphin Blvd
Jamaica, NY 11434-1020

Mailing address

115-15 Sutphin Blvd
Jamaica, NY 11434

Other identifiers 1

IdentifierTypeStateIssuer
00244371MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Child Center of New York36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1033467014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115-15 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341020",
            "telephone_number": "718-659-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD CENTER OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "718-659-4000",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.