Organization Active NPI

The Children's Aid Society

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
National Provider Identifier
1730124025
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE CHILDREN'S AID SOCIETY
Practice address
910 East 172ND Street
Bronx Family Center
Bronx, NY 10460
Phone
(347) 767-2221
Fax
(718) 328-7494
NPI assigned
Jun 19, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Justin Kopa, MDNPI 1790043800
Title
Medical Director
Phone
(929) 697-2947

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NY Primary
Primary Care Clinic/Center 261QP2300X NY
Student Health Clinic/Center 261QS1000X NU

Addresses

Primary practice location

910 East 172ND Street
Bronx Family Center
Bronx, NY 10460

Mailing address

117 W 124TH St FL 6
New York, NY 10027-4920
Phone (212) 949-4800

Other practice location 1

105 Hamilton Ave
Staten Island, NY 10301-1610
Phone (718) 924-2619

Other practice location 2

21 Jumel Pl
New York, NY 10032-4316
Phone (212) 923-1495

Other practice location 3

14-32 West 118th Street
New York, NY 10026
Phone (212) 369-8339

Other practice location 4

3703 10th Ave
New York, NY 10034-1860
Phone (212) 567-6066

Other practice location 5

3630 Third Ave
Bronx, NY 10456-2175
Phone (718) 716-7550

Other practice location 6

465 W 167th St
New York, NY 10032-4351
Phone (212) 543-3943

Other practice location 7

4600 Broadway
New York, NY 10040-2102
Phone (212) 567-3500

Other identifiers 1

IdentifierTypeStateIssuer
00245423MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160926001726 NY Part B Supplier - Clinic/Group Practice 4789971383 Receives reassigned benefits from 33 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

3630 3rd Ave
Bronx, NY 10456
Phone (718) 681-7093

910 E 172nd St
Fl 3
Bronx, NY 10460
Phone (347) 504-5980

117 W 124th St
Fl 6
New York, NY 10027

14 W 118th St
New York, NY 10026
Phone (212) 369-8339

21 Jumel Pl
New York, NY 10032
Phone (212) 923-1495

3703 10th Ave
New York, NY 10034
Phone (212) 567-6066

4 W 125th St
Fl 2
New York, NY 10027

4600 Broadway
New York, NY 10040
Phone (212) 304-0853

465 W 167th St
New York, NY 10032
Phone (212) 543-3943

1 Edgewater St
Ste 530
Staten Island, NY 10305

105 Hamilton Ave
Staten Island, NY 10301
Phone (718) 764-2410

105 Hamilton Ave
Rm 116
Staten Island, NY 10301
Phone (718) 764-2410

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1730124025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 124TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274920",
            "telephone_number": "212-949-4800",
            "fax_number": "212-986-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 EAST 172ND STREET",
            "address_2": "BRONX FAMILY CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "347-767-2221",
            "fax_number": "718-328-7494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103011610",
            "country_code": "US",
            "telephone_number": "718-924-2619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Jumel Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100324316",
            "country_code": "US",
            "telephone_number": "212-923-1495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14-32 West 118th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10026",
            "country_code": "US",
            "telephone_number": "212-369-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3703 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100341860",
            "country_code": "US",
            "telephone_number": "212-567-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Third Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104562175",
            "country_code": "US",
            "telephone_number": "718-716-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 W 167th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100324351",
            "country_code": "US",
            "telephone_number": "212-543-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100402102",
            "country_code": "US",
            "telephone_number": "212-567-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHILDREN'S AID SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KOPA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "929-697-2947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.