Head Start Housing and Rehabilitation Corporation

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

HEAD START HOUSING AND REHABILITATION CORPORATION

Practice address

3818 Church Ave Apt 1B
Brooklyn, NY 11203-2907

Phone

(646) 901-8673

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Abigail Matthew, DBH (ABD)

Title

Ceo

Phone

(917) 924-1879

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Ellifritt, LISW-S

  • Clinical Social Worker
  • Independence, OH
  • NPI 1275117640
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1265092514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032907",
            "telephone_number": "646-924-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 CHURCH AVE APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032907",
            "telephone_number": "646-901-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD START HOUSING AND REHABILITATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-924-1879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH (ABD)"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Si He
• Sining He, PHARM D
• Thomas He, DDS
• Victor He, DPT
• Yao Xin He, P.T.
• Argelis G Headley
• Breanna Camille Headley, MSED
• Gillian P. Headley, LCSW
• Latoya Headley, LPN
• Melissa A Headley, MD

• Psychiatric Residential Treatment Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.