Organization Active NPI

Child and Family Psychiatric Services

  • Family Psychologist
  • Bronx, NY
National Provider Identifier
1396133278
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
213505 Issued in NY
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

Updated by the provider on Dec 31, 2014

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)CodeLicenseStatePrimary
Family PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02057578MedicaidNY

National Provider Directory

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": "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.

Verify at the official NPI Registry.