Organization Active NPI

Progressive Community Center for Children and Families Inc

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1255032447
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROGRESSIVE COMMUNITY CENTER FOR CHILDREN AND FAMILIES INC
Practice address
4219 Church Ave
Brooklyn, NY 11203-3011
Phone
(718) 715-0400
Fax
(844) 384-6174
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Fanell AlerteNPI 1457577942
Title
Ceo
Phone
(347) 693-3518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4219 Church Ave
Brooklyn, NY 11203-3011

Mailing address

4219 Church Ave
Brooklyn, NY 11203-3011
Phone (718) 715-0400

Other identifiers 1

IdentifierTypeStateIssuer
07226855MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pcccenter7@gmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Progressive Community Center for Children and Families Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4219 Church Ave
Brooklyn, NY 11203
Phone (718) 715-0400

Practitioners & affiliated clinicians

Practitioners 1

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": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1255032447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033011",
            "telephone_number": "718-715-0400",
            "fax_number": "844-384-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033011",
            "telephone_number": "718-715-0400",
            "fax_number": "844-384-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE COMMUNITY CENTER FOR CHILDREN AND FAMILIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "ALERTE",
        "authorized_official_first_name": "FANELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-693-3518"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07226855",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pcccenter7@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4219 Church Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112033011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 14, 2023; 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.