NPIMap

Organization Active NPI

Supportive Services for Children, Inc

  • Child Mental Illness Respite Care
  • Jamaica, NY
National Provider Identifier
1609336841
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
Legal business name
SUPPORTIVE SERVICES FOR CHILDREN, INC
Doing business as
Supportive Services for Children, Inc
Practice address
14813 Hillside Ave
Jamaica, NY 11435-3330
Phone
(347) 238-1435
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Mr. Emmanuel Odigie
Title
President &Ceo
Phone
(347) 238-1435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X Primary

Addresses

Primary practice location

14813 Hillside Ave
Jamaica, NY 11435-3330

Mailing address

14813 Hillside Ave
Jamaica, NY 11435-3330
Phone (347) 238-1435

Other identifiers 1

IdentifierTypeStateIssuer
213624839MedicaidNY

Other names 1

  • Supportive Services for Children, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

14813 Hillside Ave
Jamaica, NY 11435
Phone (347) 238-1435

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1609336841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14813 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "347-238-1435",
            "fax_number": "347-238-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14813 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "347-238-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE SERVICES FOR CHILDREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "ODIGIE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT &CEO",
        "authorized_official_telephone_number": "347-238-1435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213624839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Services for Children, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.