Lifeline Center for Child Development

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LIFELINE CENTER FOR CHILD DEVELOPMENT

Practice address

8009 Winchester Blvd
Queens Village, NY 11427-2198

Phone

(631) 495-6486

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Tanya Simon

Title

Executive Director

Phone

(631) 495-6486

Specialties & licenses 1

Addresses

Tax ID family

Lifeline Center for Child Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lifeline Center for Child Development

  • Adolescent and Children Mental Health Clinic/Center
  • Queens Village, NY
  • NPI 1568559581
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Sher, LMSW

  • School Social Worker
  • Queens Village, NY
  • NPI 1740603067
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1164033130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272198",
            "telephone_number": "631-495-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272198",
            "telephone_number": "631-495-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CENTER FOR CHILD DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-495-6486"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennise Li
• Mingxin Li
• Life'S Worc
• Life'S Worc
• Life'S Worc
• Lifeline Center for Child Development
• Lim Acupuncture PC
• Dana Lin, MD
• Wilmide Lincifort, LPN
• Shanoya Lindo, LPN

• Case Manager/Care Coordinator in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.