Organization Active NPI

The Llewellyn J Forbes Urban Youth Initiative

  • Early Intervention Provider Agency
  • Bronx, NY
National Provider Identifier
1710524541
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
THE LLEWELLYN J FORBES URBAN YOUTH INITIATIVE
Practice address
1231 Lafayette Ave
BXL Suites
Bronx, NY 10474-5331
Phone
(646) 302-4426
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Llewellyn Forbes, ED. MNPI 1740797661
Title
Executive Director
Phone
(646) 302-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YS0200X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1231 Lafayette Ave
BXL Suites
Bronx, NY 10474-5331

Mailing address

PO Box 601
Bronx, NY 10465-0618
Phone (646) 302-4426

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Axway

National Provider Directory

National Provider Directory

Locations

1231 Lafayette Ave
Bronx, NY 10474
Phone (646) 302-4426

Practitioners & affiliated clinicians

Practitioners 2

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": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1710524541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104650618",
            "telephone_number": "646-302-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 LAFAYETTE AVE",
            "address_2": "BXL SUITES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104745331",
            "telephone_number": "646-302-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LLEWELLYN J FORBES URBAN YOUTH INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-302-4426",
        "authorized_official_credential": "ED. M"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Axway",
            "affiliation": "N",
            "address_1": "1231 Lafayette Ave",
            "address_2": "BXL Suites",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104745331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.