NPIMap

Organization Active NPI

Postgraduate Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
National Provider Identifier
1366988362
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
084660 Issued in NY
Legal business name
POSTGRADUATE CENTER FOR MENTAL HEALTH
Practice address
3525 Hull Ave
Bronx, NY 10467-1604
Phone
(718) 942-6200
Fax
(718) 652-4324
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Ms. Tina Nicole Sam, L.M.S.W.
Title
Fee for Service Therapist
Phone
(212) 665-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 084660 NY Primary

Addresses

Primary practice location

3525 Hull Ave
Bronx, NY 10467-1604

Mailing address

3525 Hull Ave
Bronx, NY 10467-1604
Phone (718) 942-6200

National Provider Directory

National Provider Directory
Tax ID family
Postgraduate Center for Mental Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1366988362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HULL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671604",
            "telephone_number": "718-942-6200",
            "fax_number": "718-652-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HULL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671604",
            "telephone_number": "718-942-6200",
            "fax_number": "718-652-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSTGRADUATE CENTER FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FEE FOR SERVICE THERAPIST",
        "authorized_official_telephone_number": "212-665-1860",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "084660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.