NPIMap

Organization Active NPI

Interborough Developmental and Consultation Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1598158552
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER
Practice address
819 Grand St
Brooklyn, NY 11211-5001
Phone
(718) 388-5176
Fax
(718) 388-6159
NPI assigned
Mar 13, 2015
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Mrs. Xochitl Roa, LCSW-RNPI 1538170576
Title
Director
Phone
(718) 388-5176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

819 Grand St
Brooklyn, NY 11211-5001

Mailing address

819 Grand St
Brooklyn, NY 11211-5001
Phone (718) 388-5176

National Provider Directory

National Provider Directory
Tax ID family
Interborough Development C7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1598158552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115001",
            "telephone_number": "718-388-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115001",
            "telephone_number": "718-388-5176",
            "fax_number": "718-388-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-388-5176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 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.