NPIMap

Organization Active NPI

Pesach Tikvah Hope Development Inc

Doing business as Pesach Tikvah

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
National Provider Identifier
1740834191
Registry record updated Jul 24, 2019
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
PESACH TIKVAH HOPE DEVELOPMENT INC
Doing business as
Pesach Tikvah
Practice address
5309 18TH Ave
Brooklyn, NY 11204-1523
Phone
(718) 705-5190
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PESACH TIKVAH HOPE DEVELOPMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Ms. Devorah KotzenNPI 1487203758
Title
Office Administrator
Phone
(718) 875-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5309 18TH Ave
Brooklyn, NY 11204-1523

Mailing address

5309 18TH Ave
Brooklyn, NY 11204-1523
Phone (718) 705-5190

Other names 1

  • Pesach Tikvah Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000060 NY Part B Supplier - Clinic/Group Practice 2163311564 Receives reassigned benefits from 61 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pesach Tikvah Hope Development Inc6 organizations share this tax ID, including this one
Part of
Pesach Tikvah Hope Development Inc

Other organizations with this tax ID 5

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

Locations

926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 309-3044

Practitioners & affiliated clinicians

Practitioners 226

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 226

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1740834191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-705-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-705-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PESACH TIKVAH HOPE DEVELOPMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PESACH TIKVAH HOPE DEVELOPMENT INC",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "KOTZEN",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "718-875-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pesach Tikvah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.