Coordinated Behavioral Care, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

COORDINATED BEHAVIORAL CARE, INC

Practice address

40 Rector St
11TH Floor
New York, NY 10006-1705

Phone

(212) 385-3030

Fax

(212) 619-7275

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Jorge R Petit, MD

Title

President & Ceo

Phone

(636) 930-8803

Specialties & licenses 1

Addresses

Tax ID family

Coordinated Behavioral Care Inc2 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.

• Coordinated Behavioral Care, Inc

  • Case Management Agency
  • New York, NY
  • NPI 1730451071
  NPD tax ID

Locations

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1720344120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WILLIAM STREET",
            "address_2": "19TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "646-930-8803",
            "fax_number": "212-619-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 RECTOR ST",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061705",
            "telephone_number": "212-385-3030",
            "fax_number": "212-619-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED BEHAVIORAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "636-930-8803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Rose Cooperman, PH.D.
• Steven Cooperman
• Coopers Kids Occupational and Physical Therapy Services, PLLC
• Andria Coopersmith, PA-C
• Rachel Cooperstock, MPH, RD, CDN
• Coordinated Behavioral Care, Inc
• Coordinated Dental, P.C.
• Santosh Coorg, MD
• Bonnie Coover, NP
• Cope Nyc LCSW PLLC

• Exclusive Provider Organization in New York, NY
• Providers in New York, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.