Organization Active NPI

Safe Space Nyc, Inc.

  • Mental Health Counselor
  • Far Rockaway, NY
National Provider Identifier
1316104011
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7055120B Issued in NY
Legal business name
SAFE SPACE NYC, INC.
Practice address
1931 Mott Ave
4TH Floor
Far Rockaway, NY 11691-4103
Phone
(718) 471-6818
Fax
(718) 337-2750
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Ms. Nahida Abuhamda
Title
Chief Financial Officer
Phone
(212) 226-3536

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 7055120B NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7055120B NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 7055120B NY
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 7055120B NY

Addresses

Primary practice location

1931 Mott Ave
4TH Floor
Far Rockaway, NY 11691-4103

Mailing address

295 Lafayette St
Suite 920
New York, NY 10012-2701
Phone (212) 226-3536

Other identifiers 1

IdentifierTypeStateIssuer
00368387MedicaidNY

Other names 1

  • The Center for Children & Families Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Safe Space Nyc Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1931 Mott Ave
Fl 4
Far Rockaway, NY 11691
Phone (718) 471-6818

295 Lafayette St
Ste 920
New York, NY 10012

Practitioners & affiliated clinicians

Practitioners 1

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1316104011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 LAFAYETTE ST",
            "address_2": "SUITE 920",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122701",
            "telephone_number": "212-226-3536",
            "fax_number": "212-226-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MOTT AVE",
            "address_2": "4TH FLOOR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914103",
            "telephone_number": "718-471-6818",
            "fax_number": "718-337-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE NYC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ABUHAMDA",
        "authorized_official_first_name": "NAHIDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "212-226-3536",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "7055120B",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "7055120B",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "7055120B",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "7055120B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00368387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Children & Families",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.