NPIMap

Organization Active NPI

Flatbush Treatment Addiction Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1760917603
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLATBUSH TREATMENT ADDICTION CENTER
Practice address
595 Coney Island Ave
2A
Brooklyn, NY 11218-4374
Phone
(646) 467-0556
NPI assigned
Apr 28, 2017
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES NEIGHBORHOOD SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Ravi A Kissoon, CASAC-T
Title
Case Worker
Phone
(646) 467-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

595 Coney Island Ave
2A
Brooklyn, NY 11218-4374

Mailing address

595 Coney Island Ave
2A
Brooklyn, NY 11218-4374
Phone (646) 467-0556

National Provider Directory

National Provider Directory
Tax ID family
Cath Char Nghbhd SVS Straus Icf32 organizations share this tax ID, including this one
Part of
Cath Char Nghbhd SVS Straus Icf

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1760917603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CONEY ISLAND AVE",
            "address_2": "2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184374",
            "telephone_number": "646-467-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CONEY ISLAND AVE",
            "address_2": "2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184374",
            "telephone_number": "646-467-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH TREATMENT ADDICTION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES NEIGHBORHOOD SERVICES",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "KISSOON",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CASE WORKER",
        "authorized_official_telephone_number": "646-467-0556",
        "authorized_official_credential": "CASAC-T"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 28, 2017; 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.