Active NPI
Comunilife
- Community/Behavioral Health Agency
- New York, NY
National Provider Identifier
1184957409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 61526329
- Legal business name
- COMUNILIFE
- Practice address
- 214 W 29TH St
New York, NY 10001-5203 - Phone
- (212) 219-1618
- NPI assigned
- Sep 18, 2009
- 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
- Mr. Frank Badillo, MSW
- Title
- Clinic Director
- Phone
- (718) 364-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 61526329 | NY | Primary |
Addresses
Primary practice location
214 W 29TH St
New York, NY 10001-5203
Mailing address
214 W 29TH St
New York, NY 10001-5203
Phone (212) 219-1618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61526329 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Comunilife Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Bronx, NY
- NPI 1407023138
-
- Adolescent and Children Mental Health Clinic/Center
- Bronx, NY
- NPI 1386076636
-
- Mental Illness Community Based Residential Treatment Facility
- New York, NY
- NPI 1972743896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253232000000",
"number": "1184957409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W 29TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015203",
"telephone_number": "212-219-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W 29TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015203",
"telephone_number": "212-219-1618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMUNILIFE",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A",
"authorized_official_last_name": "BADILLO",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "718-364-7700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "61526329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61526329",
"state": "NY"
}
],
"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 Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.