NPIMap

Organization Active NPI

Family Center Inc

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1275963720
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY CENTER INC
Practice address
493 Nostrand Ave
3Rd FL
Brooklyn, NY 11216-2014
Phone
(718) 230-1379
Fax
(718) 638-1628
NPI assigned
Nov 20, 2013
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Ivy Shirelle Gamble Cobb, LMSW
Title
Executive Director
Phone
(718) 230-1379

Specialties & licenses 1

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

Addresses

Primary practice location

493 Nostrand Ave
3Rd FL
Brooklyn, NY 11216-2014

Mailing address

493 Nostrand Ave
3Rd FL
Brooklyn, NY 11216-2014
Phone (718) 230-1379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141210001496 NY Part B Supplier - Clinic/Group Practice 4385877968 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Family Center 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

493 Nostrand Ave
Ste 3
Brooklyn, NY 11216
Phone (718) 230-1379

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1275963720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 NOSTRAND AVE",
            "address_2": "3RD FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162014",
            "telephone_number": "718-230-1379",
            "fax_number": "718-638-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 NOSTRAND AVE",
            "address_2": "3RD FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162014",
            "telephone_number": "718-230-1379",
            "fax_number": "718-638-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GAMBLE COBB",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "SHIRELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-230-1379",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2022; 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.