Organization Active NPI

Spanish Speaking Elderly Council-Raices,Inc.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1306863535
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
194308 Issued in NY
Legal business name
SPANISH SPEAKING ELDERLY COUNCIL-RAICES,INC.
Practice address
460 Atlantic Ave FL 1
Brooklyn, NY 11217-1704
Phone
(718) 222-1518
Fax
(718) 222-4376
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mr. Lisette Sosa-Dickson, LCSWNPI 1740201094
Title
Executive Director
Phone
(718) 643-0232

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 9137110A NY
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 074820 NY
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 194308 NY Primary

Addresses

Primary practice location

460 Atlantic Ave FL 1
Brooklyn, NY 11217-1704

Mailing address

460 Atlantic Ave FL 1
Brooklyn, NY 11217-1704
Phone (718) 222-1518

National Provider Directory

National Provider Directory

Locations

10 Hanover Pl
Brooklyn, NY 11201
Phone (718) 222-1518

460 Atlantic Ave
#1
Brooklyn, NY 11217
Phone (718) 222-1518

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1306863535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ATLANTIC AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171704",
            "telephone_number": "718-222-1518",
            "fax_number": "718-222-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ATLANTIC AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171704",
            "telephone_number": "718-222-1518",
            "fax_number": "718-222-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH SPEAKING ELDERLY COUNCIL-RAICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "SOSA-DICKSON",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-643-0232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "9137110A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074820",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "194308",
            "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 6, 2016; 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.