Organization Active NPI

Icd Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1407943202
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
087199 Issued in NY
Legal business name
ICD CENTER
Practice address
340 E 24TH St
New York, NY 10010-4019
Phone
(212) 585-6271
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
George Konstantine Samios, MD
Title
Psychiatrist
Phone
(212) 585-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 087199 NY Primary

Addresses

Primary practice location

340 E 24TH St
New York, NY 10010-4019

Mailing address

2350 Ocean Ave Apt 7F
Brooklyn, NY 11229-3043
Phone (212) 585-6271

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407943202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 OCEAN AVE APT 7F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293043",
            "telephone_number": "212-585-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMIOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KONSTANTINE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "212-585-6271",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "087199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.