Organization Active NPI

St Nicks Alliance Corp.

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1184584021
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ST NICKS ALLIANCE CORP.
Doing business as
The Club at Swinging Sixties
Practice address
211 Ainslie St
Brooklyn, NY 11211-4911
Phone
(718) 388-5454
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Amy Berg, LCSW
Title
Dep Exec Director of Social Service
Phone
(718) 388-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

211 Ainslie St
Brooklyn, NY 11211-4911

Mailing address

2 Kingsland Ave
Brooklyn, NY 11211-1695
Phone (718) 388-5454

Other names 1

  • The Club at Swinging Sixties Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Nicholas Neighborhood Preservation Corp3 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.

Locations

211 Ainslie St
Brooklyn, NY 11211
Phone (718) 388-5454

2 Kingsland Ave
Brooklyn, NY 11211
Phone (718) 388-5454

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1184584021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KINGSLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111695",
            "telephone_number": "718-388-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 AINSLIE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114911",
            "telephone_number": "718-388-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST NICKS ALLIANCE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DEP EXEC DIRECTOR OF SOCIAL SERVICE",
        "authorized_official_telephone_number": "718-388-5454",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Club at Swinging Sixties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

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

Verify at the official NPI Registry.