NPIMap

Organization Active NPI

Beverley Mack Harry Consulting Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
National Provider Identifier
1497832919
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8796100A Issued in NY
Legal business name
BEVERLEY MACK HARRY CONSULTING SERVICES INC.
Practice address
738 Crown St
Brooklyn, NY 11213-5442
Phone
(718) 363-0100
Fax
(718) 363-3005
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Ms. Beverley Harry, LCSWRNPI 1699949768
Title
President
Phone
(718) 363-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8796100A NY Primary

Addresses

Primary practice location

738 Crown St
Brooklyn, NY 11213-5442

Mailing address

PO Box 250836
Brooklyn, NY 11225-0836
Phone (717) 363-0100

Other identifiers 1

IdentifierTypeStateIssuer
01472917MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040904000057 NY Part B Supplier - Clinic/Group Practice 3476529082 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1497832919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250836",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112250836",
            "telephone_number": "717-363-0100",
            "fax_number": "718-363-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "718-363-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLEY MACK HARRY CONSULTING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "HARRY",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-363-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "8796100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01472917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.