Organization Active NPI

Addiction Research TX. Corp

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1194936260
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PO58646-1 Issued in NY
Legal business name
ADDICTION RESEARCH TX. CORP
Practice address
119 W 124TH St
New York, NY 10027-4920
Phone
(212) 932-2809
Fax
(212) 864-5087
NPI assigned
May 24, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Phyllis Otera Thomas, LCSW-PNPI 1275893240
Title
Mental Health
Phone
(212) 690-0632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PO58646-1 NY Primary

Addresses

Primary practice location

119 W 124TH St
New York, NY 10027-4920

Mailing address

PO Box 263
New York, NY 10039-0241
Phone (212) 690-0632

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1194936260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100390241",
            "telephone_number": "212-690-0632",
            "fax_number": "212-864-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 124TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274920",
            "telephone_number": "212-932-2809",
            "fax_number": "212-864-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION RESEARCH TX. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "OTERA",
        "authorized_official_title_or_position": "MENTAL HEALTH",
        "authorized_official_telephone_number": "212-690-0632",
        "authorized_official_credential": "LCSW-P"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "PO58646-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 13, 2008; 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.