NPIMap

Organization Active NPI

Neighborhood Change Youth Organization Inc

  • Voluntary or Charitable Agency
  • Staten Island, NY
National Provider Identifier
1114369642
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
NEIGHBORHOOD CHANGE YOUTH ORGANIZATION INC
Practice address
88 Seneca St
Staten Island, NY 10310-2334
Phone
(718) 981-0445
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Ms. Takisha L Collins, EDUCATOR
Title
Executive Director
Phone
(718) 981-0445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NY Primary
Early Intervention Provider Agency 252Y00000X 609775 NY

Addresses

Primary practice location

88 Seneca St
Staten Island, NY 10310-2334

Mailing address

88 Seneca St
Staten Island, NY 10310-2334
Phone (718) 981-0445

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Change Youth Organization3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1114369642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SENECA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102334",
            "telephone_number": "718-981-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SENECA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102334",
            "telephone_number": "718-981-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD CHANGE YOUTH ORGANIZATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TAKISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-981-0445",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EDUCATOR"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "609775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.