Pibly Residential Programs, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

035393 Issued in NY

Legal business name

PIBLY RESIDENTIAL PROGRAMS, INC.

Practice address

2415 Westchester Avenue
Bronx, NY 10461

Phone

(718) 863-4100

Fax

(718) 863-5165

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Madelin Enid Weiss, LMSW

Title

Associate Executive Director

Phone

(718) 863-4100

Specialties & licenses 1

Addresses

Tax ID family

Pibly Residential Programs Inc3 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.

• Pibly Residential Programs, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Bronx, NY
  • NPI 1831399146
  NPD tax ID
• Pibly Residential Programs, Inc.

  • Case Management Agency
  • Bronx, NY
  • NPI 1952766396
  NPD tax ID

Locations

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1164878468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 WESTCHESTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-863-4100",
            "fax_number": "718-863-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 WESTCHESTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-863-4100",
            "fax_number": "718-863-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIBLY RESIDENTIAL PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MADELIN",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-863-4100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "035393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Piacentino, MA, TSSLD
• Marina Piavskaia, MHC-LP
• Claire Piazza, LMSW
• Pibe Transportation Inc.
• Pibly Residential Programs, Inc
• Pibly Residential Programs, Inc.
• Gino Picano, PA-C
• Melissa Ann Picariello-Landolfi
• Carlos Javier Pichardo Diaz, MD
• Alexa Pichardo

• Community/Behavioral Health Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.