Active NPI
Fordham Tremont Communiyt Mental Health Center
- Psychiatric Hospital
- Bronx, NY
National Provider Identifier
1255586459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- CLINICIAN
- Legal business name
- FORDHAM TREMONT COMMUNIYT MENTAL HEALTH CENTER
- Practice address
- 2250 Ryer Ave
Bronx, NY 10457-1104 - Phone
- (718) 960-0617
- NPI assigned
- Dec 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tammy F. Holland, MSW
- Title
- Clinician
- Phone
- (347) 920-4281
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | CLINICIAN | NY | Primary |
Addresses
Primary practice location
2250 Ryer Ave
Bronx, NY 10457-1104
Mailing address
4239 Boyd Ave
Bronx, NY 10466-2003
Phone (347) 920-4281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLINICIAN | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2250 Ryer Ave
Bronx, NY 10457
Phone (718) 960-0617
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bronx, NY
- NPI 1023250974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1255586459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 BOYD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104662003",
"telephone_number": "347-920-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 RYER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104571104",
"telephone_number": "718-960-0617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORDHAM TREMONT COMMUNIYT MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "347-920-4281",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NY",
"license": "CLINICIAN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CLINICIAN",
"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 Dec 2, 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.