Association to Benefit Children-Fast Break Mobile Mental Health Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

075566 Issued in NY

Legal business name

ASSOCIATION TO BENEFIT CHILDREN-FAST BREAK MOBILE MENTAL HEALTH CLINIC

Practice address

1841 Park Ave
New York, NY 10035-1316

Phone

(646) 459-6142

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ASSOCIATION TO BENEFIT CHILDRENAs reported in NPPES

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

Authorized official

Name

Dr. Adam LeczyckiNPI 1316195514

Title

Program Director

Phone

(646) 459-6166

Specialties & licenses 1

Addresses

Part of

Assoc to Benefit Children

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Z Leczycki, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
  • NPI 1316195514
  Authorized official Same address or phone

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1053613489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351316",
            "telephone_number": "646-459-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351316",
            "telephone_number": "646-459-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION TO BENEFIT CHILDREN-FAST BREAK MOBILE MENTAL HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATION TO BENEFIT CHILDREN",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "LECZYCKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "646-459-6166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "075566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Association for the Advancement of Blind and Retarded Inc
• Association to Benefit Children
• Association to Benefit Children
• Association to Benefit Children
• Association to Benefit Children
• Joanne Assor
• Arie David Assouline, PT, DSC, MS
• Krystel Gilberte Assounga, MHC
• Stephanie Assuras, PHD
• Frederick Joseph Ast, MD

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.