Active NPI
Child and Family Psychiatric Services
- Family Psychologist
- Bronx, NY
National Provider Identifier
1396133278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 213505
- Legal business name
- CHILD AND FAMILY PSYCHIATRIC SERVICES
- Practice address
- 3510 Bainbridge Ave
S1
Bronx, NY 10467-1409 - Phone
- (718) 655-5552
- Fax
- (201) 357-4163
- NPI assigned
- Dec 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elsa Tapia
- Title
- Office Manager
- Phone
- (347) 510-3638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 213505 | NY | Primary |
Addresses
Primary practice location
3510 Bainbridge Ave
S1
Bronx, NY 10467-1409
Mailing address
347 Vandelinda Ave
PH
Teaneck, NJ 07666-3120
Phone (718) 655-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02057578 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Bronx, NY
- NPI 1750553301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419984000000",
"number": "1396133278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 VANDELINDA AVE",
"address_2": "PH",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663120",
"telephone_number": "718-655-5552",
"fax_number": "201-357-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 BAINBRIDGE AVE",
"address_2": "S1",
"city": "BRONX",
"state": "NY",
"postal_code": "104671409",
"telephone_number": "718-655-5552",
"fax_number": "201-357-4163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD AND FAMILY PSYCHIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-31",
"last_updated": "2014-12-31",
"status": "A",
"authorized_official_last_name": "TAPIA",
"authorized_official_first_name": "ELSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "347-510-3638"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "NY",
"license": "213505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02057578",
"state": "NY"
}
],
"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 Dec 31, 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.