NPIMap

Organization Active NPI

Independent Bronx Consultation Center, Inc.

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1386708063
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6702100A Issued in NY
Legal business name
INDEPENDENT BRONX CONSULTATION CENTER, INC.
Practice address
782 Pelham Pkwy S
Bronx, NY 10462-1142
Phone
(718) 918-1700
Fax
(718) 829-9640
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Bernice Bauman, PHD
Title
Executive Director
Phone
(718) 918-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6702100A NY Primary

Addresses

Primary practice location

782 Pelham Pkwy S
Bronx, NY 10462-1142

Mailing address

782 Pelham Pkwy S
Bronx, NY 10462-1142
Phone (718) 918-1700

National Provider Directory

National Provider Directory

Locations

782 Pelham Pkwy S
Bronx, NY 10462
Phone (718) 724-1366

Practitioners & affiliated clinicians

Practitioners 6

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1386708063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621142",
            "telephone_number": "718-918-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621142",
            "telephone_number": "718-918-1700",
            "fax_number": "718-829-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT BRONX CONSULTATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-918-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "6702100A",
            "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 Apr 28, 2008; 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.