YMCA of Greater Ny

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

261QR0405X Issued in NY

Legal business name

YMCA OF GREATER NY

Practice address

3911 Richmond Ave
Staten Island, NY 10312-5110

Phone

(718) 948-3232

Fax

(718) 966-6605

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Joanna McKernan, LCSW MDFT

Title

Program Director for Adults/Adolesc

Phone

(718) 948-3232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1679023717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125110",
            "telephone_number": "718-948-3232",
            "fax_number": "718-966-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125110",
            "telephone_number": "718-948-3232",
            "fax_number": "718-966-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF GREATER NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR FOR ADULTS/ADOLESC",
        "authorized_official_telephone_number": "718-948-3232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW MDFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "261QR0405X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• YMCA Counseling Service
• YMCA Counseling Service
• YMCA of Greater New York
• YMCA of Greater New York
• YMCA of Greater Ny
• Zipporah Yoel, LMSW
• Arthy Yoga, MD
• Jeremy Yoo, DDS
• Jiyeon Helen Yoo, PH.D., BCBA-D
• Kyung Yoo, MD

• Addiction (Substance Use Disorder) Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.