NPIMap

Organization Active NPI

Procare Clinical Service

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1699052019
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROCARE CLINICAL SERVICE
Practice address
548 Linden Blvd
Brooklyn, NY 11203-3052
Phone
(718) 282-0777
Fax
(718) 282-2727
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Sanyale Jones, MPH
Title
Ceo
Phone
(718) 282-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

548 Linden Blvd
Brooklyn, NY 11203-3052

Mailing address

548 Linden Blvd
Brooklyn, NY 11203-3052
Phone (718) 282-0777

Other names 1

  • Trinity Development Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Procare Clinical Service2 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1699052019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033052",
            "telephone_number": "718-282-0777",
            "fax_number": "718-282-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033052",
            "telephone_number": "718-282-0777",
            "fax_number": "718-282-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE CLINICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SANYALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-282-0777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.