Safe Space

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAFE SPACE

Practice address

9209 222 Street
Queens Village, NY 11428

Phone

(917) 528-3380

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael Blady

Title

Director

Phone

(718) 206-3440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1669752929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 222ND ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281473",
            "telephone_number": "917-528-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 222 STREET",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "917-528-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BLADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-206-3440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris Rozentsvit
• Rta HTH Inc.
• Elzbieta Rudnicka
• Manojabasingh Russaliah
• Jatan Sabharwal, MD
• Naomi Safe
• Marlene Sagesse, LPN
• Gayatri Sahai
• Jeanne Saint Germain
• Bernadette Saint Jean

• Community/Behavioral Health Agency in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.