NPIMap

Organization Active NPI

Interfaith Medical Center

  • Adult Mental Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1235387309
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
071847-1 Issued in NY
Legal business name
INTERFAITH MEDICAL CENTER
Practice address
1475 Fulton St
Brooklyn, NY 11216-2506
Phone
(718) 613-7264
Fax
(718) 613-7281
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mrs. Cutelle Hyacinth Murphy, LCSW
Title
Social Worker/Therapist
Phone
(718) 612-7264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 071847-1 NY Primary

Addresses

Primary practice location

1475 Fulton St
Brooklyn, NY 11216-2506

Mailing address

19714 120TH Ave
1St Floor
Saint Albans, NY 11412-3700
Phone (718) 525-1451

National Provider Directory

National Provider Directory
Tax ID family
Interfaith Hosp ER Opd10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1235387309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19714 120TH AVE",
            "address_2": "1ST FLOOR",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123700",
            "telephone_number": "718-525-1451",
            "fax_number": "718-525-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162506",
            "telephone_number": "718-613-7264",
            "fax_number": "718-613-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CUTELLE",
        "authorized_official_middle_name": "HYACINTH",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "718-612-7264",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "071847-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.