Paul J Cooper Center for Human Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PAUL J COOPER CENTER FOR HUMAN SERVICES

Practice address

887 E New York Ave
Brooklyn, NY 11203-1309

Phone

(718) 467-6441

Fax

(718) 467-4921

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Ambrose

Title

Billing Officer

Phone

(718) 498-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306867593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125638",
            "telephone_number": "718-498-5555",
            "fax_number": "718-498-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031309",
            "telephone_number": "718-467-6441",
            "fax_number": "718-467-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J COOPER CENTER FOR HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "718-498-5555"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brooklyn, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.