Active NPI
PSCH. Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Springfield Gardens, NY
National Provider Identifier
1578627170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 01171333
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01171333 | Medicaid | NY |
Other names 1
- Promoting Specialized Care & Health
National Provider Directory
National Provider Directory- Tax ID family
- Promoting Specialized Care Health
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
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- Clinic/Center
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- Community/Behavioral Health Agency
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- Intellectual and/or Developmental Disabilities Residential Treatment Facility
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- NPI 1417011776
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- Community/Behavioral Health Agency
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- NPI 1609029909
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- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond Hill, NY
- NPI 1265596829
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
- NPI 1316001837
-
- Clinic/Center
- Astoria, NY
- NPI 1417011974
-
- Case Management Agency
- Jamaica, NY
- NPI 1437313822
-
- Clinic/Center
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- Intellectual and/or Developmental Disabilities Residential Treatment Facility
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- NPI 1548324171
-
- Mental Illness Intermediate Care Facility
- Brooklyn, NY
- NPI 1659505824
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- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Maspeth, NY
- NPI 1083778583
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.