Alpha School Center for Progressive Living, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.

Practice address

2400 Linden Blvd
Brooklyn, NY 11208-4830

Phone

(718) 257-5800

Fax

(718) 649-7040

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Barry Addison, CPP,CAS,RAS

Title

Chief Executive Officer

Phone

(718) 257-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447471248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084830",
            "telephone_number": "718-257-5800",
            "fax_number": "718-649-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084830",
            "telephone_number": "718-257-5800",
            "fax_number": "718-649-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-257-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPP,CAS,RAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.