Organization Active NPI

Glencara, Inc

  • Voluntary or Charitable Agency
  • Queens Village, NY
National Provider Identifier
1689654782
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
15623 Issued in NY
Legal business name
GLENCARA, INC
Practice address
8605 218TH St
Queens Village, NY 11427-1922
Phone
(718) 454-9804
Fax
(718) 454-9806
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Sean Foley, LCSW
Title
President
Phone
(718) 454-9804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 15623 NY Primary

Addresses

Primary practice location

8605 218TH St
Queens Village, NY 11427-1922

Mailing address

8605 218TH St
Queens Village, NY 11427-1922
Phone (718) 454-9804

Other identifiers 1

IdentifierTypeStateIssuer
1215001OtherNYPSYCHOTHERAPY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1689654782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 218TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271922",
            "telephone_number": "718-454-9804",
            "fax_number": "718-454-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 218TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271922",
            "telephone_number": "718-454-9804",
            "fax_number": "718-454-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCARA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-454-9804",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "15623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPY",
            "identifier": "1215001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.