Active NPI
Service Program for Older People, Inc
- Geriatric Psychiatry Physician
- New York, NY
National Provider Identifier
1740211143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- SERVICE PROGRAM FOR OLDER PEOPLE, INC
- Practice address
- 302 W 91St St
New York, NY 10024-1011 - Phone
- (212) 787-7120
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Thurston, LCSW
- Title
- Chief Executive Officer
- Phone
- (212) 787-7120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
302 W 91St St
New York, NY 10024-1011
Mailing address
302 W 91St St Apt 2
New York, NY 10024-1011
Phone (212) 787-7120
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26178P | Other | NY | HIP |
| A2391634 | Other | NY | OXFORD |
| 00813034 | Medicaid | NY | |
| 00245327 | Medicaid | NY | |
| 313087 | Other | NY | VALUE OPTIONS |
| 7480603 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000978 | NY | Part B Supplier - Clinic/Group Practice | 2668373135 |
Receives reassigned benefits from 23 practitioners Practice locations: New York, NY; Brooklyn, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Lauren Taylor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831644657
Locations
305 7th Ave
Fl 15
New York, NY 10001
180 Mott St
New York, NY 10012
Phone (917) 518-9992
302 W 91st St
Apt 2
New York, NY 10024
302 W 91st St
New York, NY 10024
Phone 2127877120528
135 W 23rd St
New York, NY 10011
Phone (252) 714-5943
415 E 93rd St
New York, NY 10128
312 E 109th St
New York, NY 10029
Practitioners & affiliated clinicians
Practitioners 75
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": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1740211143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W 91ST ST APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241011",
"telephone_number": "212-787-7120",
"fax_number": "212-580-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W 91ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241011",
"telephone_number": "212-787-7120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICE PROGRAM FOR OLDER PEOPLE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "THURSTON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "212-787-7120",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "26178P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2391634",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00813034",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245327",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "313087",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7480603",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Servants of Relief for Incurable Cancer
- Serve the Elderly Inc
- Dominick Servedio, AUDIOLOGY PC
- Susan Servetnick, PT
- Service Program for Older People
- Services for the Aged
- Services for the Underserved
- Services for the Underserved
- Services for the Underserved
- Services for the Underserved - Mental Health Programs Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.