NPIMap

Organization Active NPI

The Child Center of Ny, Inc

  • Community/Behavioral Health Agency
  • Long Island City, NY
National Provider Identifier
1366854705
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6734121E Issued in NY
Legal business name
THE CHILD CENTER OF NY, INC
Practice address
2837 29TH St
PS 17
Long Island City, NY 11102-2450
Phone
(718) 278-1220
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Jean M Coppola
Title
Director of Billing
Phone
(718) 651-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6734121E NY Primary

Addresses

Primary practice location

2837 29TH St
PS 17
Long Island City, NY 11102-2450

Mailing address

6002 Queens Blvd
Woodside, NY 11377-4973
Phone (718) 651-7770

Other identifiers 1

IdentifierTypeStateIssuer
00244371MedicaidNY

Other names 1

  • Queens Child Guidance Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Child Center of New York36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

2837 29th St
#17
Long Island City, NY 11102
Phone (718) 278-1220

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1366854705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774973",
            "telephone_number": "718-651-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 29TH ST",
            "address_2": "PS 17",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111022450",
            "telephone_number": "718-278-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD CENTER OF NY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "718-651-7770"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "6734121E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Child Guidance Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.