NPIMap

Organization Active NPI

Village Child Developmental Center

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1194276915
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VILLAGE CHILD DEVELOPMENTAL CENTER
Practice address
350 E 146TH St
Bronx, NY 10451-5702
Phone
(765) 661-1691
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Sirrah Mazellan, COTA
Title
C.O.T.a.
Phone
(765) 661-1691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

350 E 146TH St
Bronx, NY 10451-5702

Mailing address

350 E 146TH St
Bronx, NY 10451-5702

National Provider Directory

National Provider Directory
Tax ID family
Village Child Development Center3 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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1194276915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 146TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 146TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515702",
            "telephone_number": "765-661-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHILD DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "MAZELLAN",
        "authorized_official_first_name": "SIRRAH",
        "authorized_official_title_or_position": "C.O.T.A.",
        "authorized_official_telephone_number": "765-661-1691",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.