Active NPI
Safe Space Nyc, Inc.
- Mental Health Counselor
- Far Rockaway, NY
National Provider Identifier
1316104011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7055120B
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7055120B | NY | Primary |
| Clinical Social Worker | 1041C0700X | 7055120B | NY | |
| Psychiatry Physician | 2084P0800X | 7055120B | NY | |
| Child & Adolescent Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00368387 | Medicaid | NY |
Other names 1
- The Center for Children & Families
National Provider Directory
National Provider Directory- Tax ID family
- Safe Space Nyc Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- New York, NY
- NPI 1083921837
-
- Mental Health Counselor
- Jamaica, NY
- NPI 1760532279
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.
-
- Clinical Social Worker
- Far Rockaway, NY
- NPI 1831355940
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.