NPIMap

Organization Active NPI

The Child Center of Ny

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield Gardens, NY
National Provider Identifier
1730337049
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
6734122F Issued in NY
Legal business name
THE CHILD CENTER OF NY
Practice address
18998 Ridgedale St
Room 116C
Springfield Gardens, NY 11413
Phone
(718) 659-4000
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Mrs. Jean M Coppola
Title
Billing Manager
Phone
(718) 651-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6734122F NY Primary

Addresses

Primary practice location

18998 Ridgedale St
Room 116C
Springfield Gardens, NY 11413

Mailing address

6002 Queens Blvd
Lower Level
Woodside, NY 11377-4973
Phone (718) 651-7770

Other identifiers 3

IdentifierTypeStateIssuer
7403085OtherNYGHI
00244371MedicaidNY
WV0071OtherNYBLUE CROSS/BLUE SHIELD

Other names 1

  • IS 59 Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Center of New York36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

6002 Queens Blvd
Lowr
Woodside, NY 11377
Phone (646) 266-0900

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1730337049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 QUEENS BLVD",
            "address_2": "LOWER LEVEL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774973",
            "telephone_number": "718-651-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18998 RIDGEDALE ST",
            "address_2": "ROOM 116C",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-659-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD CENTER OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-651-7770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "6734122F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7403085",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244371",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "WV0071",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IS 59",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.