NPIMap

Organization Active NPI

Neighborhood Change Youth Organization

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1346787512
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
NEIGHBORHOOD CHANGE YOUTH ORGANIZATION
Practice address
88 Seneca St
Staten Island, NY 10310-2334
Phone
(646) 600-1843
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Takisha Collins
Title
Director
Phone
(646) 600-1843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X NY Primary
Voluntary or Charitable Agency 251V00000X NY

Addresses

Primary practice location

88 Seneca St
Staten Island, NY 10310-2334

Mailing address

88 Seneca St
Staten Island, NY 10310-2334
Phone (646) 600-1843

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Change Youth Organization3 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.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1346787512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SENECA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102334",
            "telephone_number": "646-600-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SENECA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102334",
            "telephone_number": "646-600-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD CHANGE YOUTH ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TAKISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-600-1843"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.