NPIMap

Organization Active NPI

Empower Kids Licensed Applied Behavioral Analyst PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Spring Valley, NY
National Provider Identifier
1316401391
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
EMPOWER KIDS LICENSED APPLIED BEHAVIORAL ANALYST PLLC
Practice address
80 Red Schoolhouse Rd Ste 107
Spring Valley, NY 10977-7052
Phone
(845) 218-8069
Fax
(845) 364-6332
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Gitty Brach
Title
Cfo
Phone
(845) 218-8069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

80 Red Schoolhouse Rd Ste 107
Spring Valley, NY 10977-7052

Mailing address

80 Red Schoolhouse Rd Ste 107
Spring Valley, NY 10977-7052
Phone (845) 218-8069

National Provider Directory

National Provider Directory

Locations

80 Red Schoolhouse Rd
Ste 107
Spring Valley, NY 10977
Phone (845) 218-8069

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1316401391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RED SCHOOLHOUSE RD STE 107",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109777052",
            "telephone_number": "845-218-8069",
            "fax_number": "845-364-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RED SCHOOLHOUSE RD STE 107",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109777052",
            "telephone_number": "845-218-8069",
            "fax_number": "845-364-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER KIDS LICENSED APPLIED BEHAVIORAL ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BRACH",
        "authorized_official_first_name": "GITTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-218-8069"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.