NPIMap

Organization Active NPI

Berkshire Farm Center & Sevices for Youth

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1740437136
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
051010545 Issued in NY
Legal business name
BERKSHIRE FARM CENTER & SEVICES FOR YOUTH
Practice address
3464 Webster Ave
Bronx, NY 10467
Phone
(718) 515-7972
Fax
(718) 515-7979
NPI assigned
Aug 27, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Timothy Giacchetta
Title
Ceo
Phone
(518) 781-4567

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Farm Center Services for Youth8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3464 Webster Ave
Bronx, NY 10467
Phone (718) 515-7972

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 051010545 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

3464 Webster Ave
Bronx, NY 10467

Mailing address

13640 State Route 22
Canaan, NY 12029
Phone (518) 781-4567

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02497758MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2008.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1740437136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 STATE ROUTE 22",
            "city": "CANAAN",
            "state": "NY",
            "postal_code": "12029",
            "telephone_number": "518-781-4567",
            "fax_number": "518-781-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-515-7972",
            "fax_number": "718-515-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FARM CENTER & SEVICES FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "GIACCHETTA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-781-4567"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "051010545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02497758",
            "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 Aug 27, 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.