Active NPI
Four Deans Community Outreach Foundation Inc.
- Voluntary or Charitable Agency
- New York, NY
National Provider Identifier
1104711084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- FOUR DEANS COMMUNITY OUTREACH FOUNDATION INC.
- Practice address
- 15 W 118TH St Ste Ug4
New York, NY 10026-1984 - Phone
- (929) 735-6915
- NPI assigned
- Jun 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odetta Dean
- Title
- Executive Director
- Phone
- (917) 293-9601
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health Educator | 174H00000X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
15 W 118TH St Ste Ug4
New York, NY 10026-1984
Mailing address
15 W 118TH St Ste Ug4
New York, NY 10026-1984
Phone (929) 735-6915
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1104711084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W 118TH ST STE UG4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261984",
"telephone_number": "929-735-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W 118TH ST STE UG4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261984",
"telephone_number": "929-735-6915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR DEANS COMMUNITY OUTREACH FOUNDATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "ODETTA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "917-293-9601"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.