NPIMap

Organization Active NPI

Community Association of Progressive Dominicans, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1629149125
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8819100A Issued in NY
Legal business name
COMMUNITY ASSOCIATION OF PROGRESSIVE DOMINICANS, INC
Practice address
3940 Broadway FL 2
New York, NY 10032
Phone
(212) 781-5500
Fax
(212) 927-6089
NPI assigned
Nov 13, 2006
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Vicky Gatell
Title
Chief Financial Officer
Phone
(718) 960-7629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8819100A NY Primary

Addresses

Primary practice location

3940 Broadway FL 2
New York, NY 10032

Mailing address

311 E 175TH St
Bronx, NY 10457-5859
Phone (718) 960-7568

Other identifiers 1

IdentifierTypeStateIssuer
01962550MedicaidNY

Other names 1

  • ACDP Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723000196 NY Part B Supplier - Clinic/Group Practice 2264412816 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Acdp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Acdp
    • Community/Behavioral Health Agency
    • Bronx, NY
    • NPI 1871844613
    NPD tax ID

Locations

3940 Broadway
Fl 2
New York, NY 10032
Phone (212) 781-5500

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1629149125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 175TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575859",
            "telephone_number": "718-960-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-781-5500",
            "fax_number": "212-927-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSOCIATION OF PROGRESSIVE DOMINICANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "GATELL",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-960-7629"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "8819100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01962550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACDP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ACDP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.