Organization Active NPI

Kids Club Leo Corp

  • Developmental Therapist
  • Brooklyn, NY
National Provider Identifier
1043962376
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
KIDS CLUB LEO CORP
Practice address
2427 Gerritsen Ave FL 2
Brooklyn, NY 11229-5903
Phone
(646) 269-0287
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Miss Alena Trotskaya, MS.EDNPI 1992248827
Title
Special Education Teacher
Phone
(646) 269-0287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

2427 Gerritsen Ave FL 2
Brooklyn, NY 11229-5903

Mailing address

2427 Gerritsen Ave FL 2
Brooklyn, NY 11229-5903
Phone (646) 269-0287

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1043962376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 GERRITSEN AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295903",
            "telephone_number": "646-269-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 GERRITSEN AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295903",
            "telephone_number": "646-269-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLUB LEO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "TROTSKAYA",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "646-269-0287",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS.ED"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.