Organization Active NPI

PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield Gardens, NY
National Provider Identifier
1578627170
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
01171333 Issued in NY
Legal business name
PSCH. INC
Practice address
23031 148TH Ave
Springfield Gardens, NY 11413-4213
Phone
(718) 528-0940
NPI assigned
Dec 20, 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. Jacqueline Rivera-Herrera
Title
VP of Finance for Clinical Services
Phone
(347) 542-4217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 01171333 NY Primary

Addresses

Primary practice location

23031 148TH Ave
Springfield Gardens, NY 11413-4213

Mailing address

142-02 20TH Avenue
3Rd Floor
Flushing, NY 11351
Phone (718) 559-0555

Other identifiers 1

IdentifierTypeStateIssuer
01171333MedicaidNY

Other names 1

  • Promoting Specialized Care & Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promoting Specialized Care Health25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

23031 148th Ave
Springfield Gardens, NY 11413
Phone (718) 528-0940

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1578627170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-02 20TH AVENUE",
            "address_2": "3RD FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11351",
            "telephone_number": "718-559-0555",
            "fax_number": "718-445-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23031 148TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134213",
            "telephone_number": "718-528-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSCH. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA-HERRERA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP OF FINANCE FOR CLINICAL SERVICES",
        "authorized_official_telephone_number": "347-542-4217",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "01171333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01171333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promoting Specialized Care & Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield Gardens, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.