Freedom Youth Family Justice Center

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FREEDOM YOUTH FAMILY JUSTICE CENTER

Practice address

1135 Teller Ave
Bronx, NY 10456-5265

Phone

(929) 612-3667

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Monique Ferguson

Title

Ceo

Phone

(347) 847-3337

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1497514152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 320",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431946",
            "telephone_number": "929-612-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565265",
            "telephone_number": "929-612-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM YOUTH FAMILY JUSTICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-847-3337"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Fredericks, LMT
• Bethann Freed, R.N.
• Aharona Freedman, MD
• Leah Freedman, M.S.
• Nancy Schwartz Freedman, SLP
• Joi Victoria Freedom
• Nicole Freel
• April L Freeman, LMSW
• Athena Carrie Freeman
• Beth Stacy Freeman, RD CDN

• Case Manager/Care Coordinator in Bronx, NY
• Providers in Bronx, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.