NPIMap

Organization Active NPI

Berkshire Farm Center and Services for Youth

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1245448281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH
Practice address
406 E 176TH St
Bronx, NY 10457-6003
Phone
(718) 901-6858
NPI assigned
May 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. John F. Cox Jr.
Title
Chief Financial Officer
Phone
(518) 781-4567

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Farm Center Services for Youth (8 organizations share this tax ID)

Locations

406 E 176th St
Bronx, NY 10457
Phone (718) 901-6888

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

406 E 176TH St
Bronx, NY 10457-6003

Mailing address

13640 State Route 22
Canaan, NY 12029-3504
Phone (518) 781-4567

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02497758MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245448281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 STATE ROUTE 22",
            "city": "CANAAN",
            "state": "NY",
            "postal_code": "120293504",
            "telephone_number": "518-781-4567",
            "fax_number": "518-781-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E 176TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576003",
            "telephone_number": "718-901-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-781-4567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02497758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.