Central Park Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CENTRAL PARK RECOVERY

Practice address

2176 Central Park Ave
Yonkers, NY 10710-1826

Phone

(914) 447-6153

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Intervallo, CASACNPI 1104393289

Title

Ceo/Clinical Director

Phone

(914) 619-5242

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Intervallo, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Yonkers, NY
  • NPI 1104393289
  NPD Authorized official

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1215543376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107100356",
            "telephone_number": "914-619-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101826",
            "telephone_number": "914-447-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "INTERVALLO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "914-619-5242",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "2176 Central Park Ave",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107101826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniela Celpa, M.S.
• Central Pain Medicine PLLC
• Central Park Foot Rehasbilitation Associates
• Central Park Optical
• Central Park Podiatry PC
• Central Park RX LLC
• Centro Pharmacy Inc
• Pamela Cerrato, M.A. CCC-SLP, TSHH
• Carmelina Cerrone, CCC-A
• Jacky Mari Cervantes, PT, DPT

• Substance Use Disorder Rehabilitation Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.