Organization Active NPI

Pgcmh

  • Community/Behavioral Health Agency
  • Ny, NY
National Provider Identifier
1396215513
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PGCMH
Practice address
1775 Grand Concourse 8TH FL
Ny, NY 10457
Phone
(212) 560-6700
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Ms. Ronit Shemi, LCSW
Title
Program Director
Phone
(212) 560-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1775 Grand Concourse 8TH FL
Ny, NY 10457

Mailing address

1775 Grand Concourse 8TH FL
Ny, NY 10457
Phone (212) 560-6700

Other identifiers 1

IdentifierTypeStateIssuer
00244257MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1396215513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE 8TH FL",
            "city": "NY",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "212-560-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE 8TH FL",
            "city": "NY",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "212-560-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGCMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SHEMI",
        "authorized_official_first_name": "RONIT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "212-560-6700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244257",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.