NPIMap

Organization Active NPI

Pesach Tikvah Hope Development Inc

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1376598466
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7679100A Issued in NY
Legal business name
PESACH TIKVAH HOPE DEVELOPMENT INC
Practice address
18 Middleton St
Brooklyn, NY 11206-5415
Phone
(718) 875-6900
Fax
(718) 875-3282
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Bas Shevy Miller, CPA
Title
Comptroller
Phone
(718) 875-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7679100A NY Primary

Addresses

Primary practice location

18 Middleton St
Brooklyn, NY 11206-5415

Mailing address

18 Middleton St
Brooklyn, NY 11206-5415
Phone (718) 875-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000060 NY Part B Supplier - Clinic/Group Practice 2163311564 Receives reassigned benefits from 61 practitioners
1 other NPI on this enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Peach Tikvah Door of Hope6 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 220

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

View all 220

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1376598466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PESACH TIKVAH HOPE DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BAS SHEVY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-875-6900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "7679100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.