NPIMap

Organization Active NPI

Brooklyn Center for Psychotherapy,Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
National Provider Identifier
1275516213
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6727100A Issued in NY
Legal business name
BROOKLYN CENTER FOR PSYCHOTHERAPY,INC.
Practice address
300 Flatbush Ave
Brooklyn, NY 11217-2812
Phone
(718) 622-2000
Fax
(718) 398-3328
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Mr. Mark Salomon
Title
Executive Director
Phone
(718) 862-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6727100A NY Primary

Addresses

Primary practice location

300 Flatbush Ave
Brooklyn, NY 11217-2812

Mailing address

300 Flatbush Ave
Brooklyn, NY 11217-2812
Phone (718) 622-2000

Other identifiers 1

IdentifierTypeStateIssuer
00244651MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001708 NY Part B Supplier - Clinic/Group Practice 9436041621 Receives reassigned benefits from 12 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

500 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 398-0800

300 Flatbush Ave
Brooklyn, NY 11217
Phone (718) 622-2000

Practitioners & affiliated clinicians

Practitioners 105

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.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1275516213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172812",
            "telephone_number": "718-622-2000",
            "fax_number": "718-398-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172812",
            "telephone_number": "718-622-2000",
            "fax_number": "718-398-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN CENTER FOR PSYCHOTHERAPY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-862-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6727100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244651",
            "state": "NY"
        }
    ],
    "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 May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.