Organization Active NPI

Special Ed for Special Kids, Inc.

  • Mental Health Counselor
  • Plainview, NY
National Provider Identifier
1093273930
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPECIAL ED FOR SPECIAL KIDS, INC.
Practice address
7 Vernon St
Plainview, NY 11803-4603
Phone
(917) 783-5340
Fax
(516) 935-2867
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Mrs. Becki Naomi Boussidan, MS ED.NPI 1548308125
Title
President
Phone
(917) 783-5340

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7 Vernon St
Plainview, NY 11803-4603

Mailing address

7 Vernon St
Plainview, NY 11803-4603
Phone (917) 783-5340

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": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1093273930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VERNON ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034603",
            "telephone_number": "917-783-5340",
            "fax_number": "516-935-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VERNON ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034603",
            "telephone_number": "917-783-5340",
            "fax_number": "516-935-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL ED FOR SPECIAL KIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "BOUSSIDAN",
        "authorized_official_first_name": "BECKI",
        "authorized_official_middle_name": "NAOMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-783-5340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS ED."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.