NPIMap

Organization Active NPI

Harlem East Life Plan

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1205183191
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
72 083220 Issued in NY
Legal business name
HARLEM EAST LIFE PLAN
Practice address
2367-69 Second Avenue
New York, NY 10035
Phone
(212) 876-2300
NPI assigned
Aug 9, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SES OPERATING CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Bishme Allah, LMSW
Title
Therapist
Phone
(212) 876-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 72 083220 NY Primary

Addresses

Primary practice location

2367-69 Second Avenue
New York, NY 10035

Mailing address

2367-69 Second Avenue
New York, NY 10035
Phone (212) 876-2300

National Provider Directory

National Provider Directory
Part of
Ses Operating Corp

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1205183191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367-69 SECOND AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-876-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367-69 SECOND AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-876-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM EAST LIFE PLAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SES OPERATING CORP.",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "ALLAH",
        "authorized_official_first_name": "BISHME",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "212-876-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "72 083220",
            "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 Aug 27, 2012; 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.