Organization Active NPI

Glencara Inc

  • Community/Behavioral Health Agency
  • Queens Village, NY
National Provider Identifier
1811144363
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R 15236 Issued in NY
Legal business name
GLENCARA INC
Practice address
8605 218TH St
Queens Village, NY 11427-1922
Phone
(718) 454-9804
Fax
(718) 454-9806
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Sean Foley, LCSWNPI 1700027596
Title
President
Phone
(718) 454-9804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R 15236 NY Primary

Addresses

Primary practice location

8605 218TH St
Queens Village, NY 11427-1922

Mailing address

8605 218TH St
Queens Village, NY 11427-1922
Phone (718) 454-9804

Other identifiers 7

IdentifierTypeStateIssuer
P00472672OtherNYRAILROAD MEDICARE
MHS237632OtherNYVALUE OPTIONS
12151001OtherNYHIP
7405842OtherNYGHI
02448819MedicaidNY
12151001OtherMULTIPLAN
87726OtherNYINITED BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1811144363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 218TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271922",
            "telephone_number": "718-454-9804",
            "fax_number": "718-454-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 218TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271922",
            "telephone_number": "718-454-9804",
            "fax_number": "718-454-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCARA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-454-9804",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R 15236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00472672",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "MHS237632",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "12151001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7405842",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02448819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12151001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INITED BEHAVIORAL HEALTH",
            "identifier": "87726",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

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