NPIMap

Organization Active NPI

Mount Vernon Neighborhood Health Center, Inc.

Doing business as WCHC SBHC at Mount Vernon High School

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, NY
National Provider Identifier
1710785175
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
Doing business as
WCHC SBHC at Mount Vernon High School
Practice address
100 California Rd
Mount Vernon, NY 10552-1404
Phone
(914) 699-4860
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Maxine Lewis
Title
Director Patient Financial Services
Phone
(914) 699-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

100 California Rd
Mount Vernon, NY 10552-1404

Mailing address

107 W 4TH St
Mount Vernon, NY 10550-4002
Phone (914) 699-7200

Other identifiers 1

IdentifierTypeStateIssuer
02995522MedicaidNY

Other names 1

  • WCHC SBHC at Mount Vernon High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mt Vernon Neighborh HLTH10 organizations share this tax ID, including this one
Part of
Mt Vernon Neighborh HLTH

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 California Rd
Mount Vernon, NY 10552
Phone (914) 665-5275

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1710785175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504002",
            "telephone_number": "914-699-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA RD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521404",
            "telephone_number": "914-699-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "DIRECTOR PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "914-699-7200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCHC SBHC at Mount Vernon High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.