NPIMap

Organization Active NPI

Functional Life Achievement, Inc

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1225378342
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FUNCTIONAL LIFE ACHIEVEMENT, INC
Practice address
236 2ND Ave
New York, NY 10003-2704
Phone
(917) 618-9050
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Miss Zarina Yusufov
Title
Speech Pathologist Cfy
Phone
(917) 618-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

236 2ND Ave
New York, NY 10003-2704

Mailing address

2749 Mill Ave FL 2
Brooklyn, NY 11234-6421

National Provider Directory

National Provider Directory
Tax ID family
Didi Hirsch Mental Health Services140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1225378342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 MILL AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032704",
            "telephone_number": "917-618-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL LIFE ACHIEVEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "YUSUFOV",
        "authorized_official_first_name": "ZARINA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST CFY",
        "authorized_official_telephone_number": "917-618-9050",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "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 Feb 26, 2013; 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.