Paul J. Cooper Center for Human Services Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PAUL J. COOPER CENTER FOR HUMAN SERVICES INC

Practice address

510 Gates Ave
Brooklyn, NY 11216-1506

Phone

(718) 498-5555

Fax

(718) 498-6868

NPI assigned

Jul 22, 2006

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Javier Guerrero, CFO

Title

Cfo

Phone

(718) 498-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1801817093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161506",
            "telephone_number": "718-498-5555",
            "fax_number": "718-498-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161506",
            "telephone_number": "718-498-5555",
            "fax_number": "718-498-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. COOPER CENTER FOR HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-498-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.