Organization Active NPI

Trac Autism Inc.

  • Case Management Agency
  • Yonkers, NY
National Provider Identifier
1073133682
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TRAC AUTISM INC.
Practice address
1155 Warburton Ave Apt 6E
Yonkers, NY 10701-1030
Phone
(347) 687-7701
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Lucas AddoNPI 1750756243
Title
Executive Director
Phone
(347) 687-7701

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
In Home Supportive Care Agency 253Z00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1155 Warburton Ave Apt 6E
Yonkers, NY 10701-1030

Mailing address

1155 Warburton Ave Apt 6E
Yonkers, NY 10701-1030
Phone (347) 687-7701

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Lucasaddo@tracautism.org
Direct Messaging Address Lucasaddo@tracautism.org
Direct Messaging Address Lucasaddo@tracautism.org

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1073133682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WARBURTON AVE APT 6E",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011030",
            "telephone_number": "347-687-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WARBURTON AVE APT 6E",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011030",
            "telephone_number": "347-687-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAC AUTISM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "ADDO",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-687-7701"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lucasaddo@tracautism.org",
            "affiliation": "N",
            "address_1": "1155 Warburton Ave Apt 6E",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107011030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lucasaddo@tracautism.org",
            "affiliation": "N",
            "address_1": "1155 Warburton Ave Apt 6E",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107011030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lucasaddo@tracautism.org",
            "affiliation": "N",
            "address_1": "1155 Warburton Ave Apt 6E",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107011030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.