Organization Active NPI

Achieve Beyond

  • Community/Behavioral Health Agency
  • Forest Hills, NY
National Provider Identifier
1700235397
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
998586405 Issued in NY
Legal business name
ACHIEVE BEYOND
Practice address
7000 Austin St, Suite 200
Forest Hills, NY 11375
Phone
(718) 886-7633
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Mr. Shana Dennie
Title
Credentialing Specialist- Affiliate
Phone
(718) 886-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 998586405 NY Primary

Addresses

Primary practice location

7000 Austin St, Suite 200
Forest Hills, NY 11375

Mailing address

11041 107TH St
Ozone Park, NY 11417-2656
Phone (646) 717-3004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1700235397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 107TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172656",
            "telephone_number": "646-717-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 AUSTIN ST, SUITE 200",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-886-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE BEYOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DENNIE",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST- AFFILIATE",
        "authorized_official_telephone_number": "718-886-7633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "998586405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.