Pibly Residential Programs, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

6275430 Issued in NY

Legal business name

PIBLY RESIDENTIAL PROGRAMS, INC

Practice address

2415 Westchester Avenue
Bronx, NY 10461-3538

Phone

(718) 863-4100

Fax

(718) 863-5165

NPI assigned

Jul 24, 2007

Last updated

Sep 19, 2016By 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. Thomas Jennings

Title

Executive Director

Phone

(718) 863-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pibly Residential Programs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pibly Residential Programs, Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1164878468
  NPD tax ID
• Pibly Residential Programs, Inc.

  • Case Management Agency
  • Bronx, NY
  • NPI 1952766396
  NPD tax ID

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1831399146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 WESTCHESTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613538",
            "telephone_number": "718-863-4100",
            "fax_number": "718-863-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 WESTCHESTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613538",
            "telephone_number": "718-863-4100",
            "fax_number": "718-863-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIBLY RESIDENTIAL PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-863-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "6275430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank J Piacenti III, PHARMD
• Kelly Ann Piacentino, MA, TSSLD
• Marina Piavskaia, MHC-LP
• Claire Piazza, LMSW
• Pibe Transportation Inc.
• Pibly Residential Programs, Inc.
• Pibly Residential Programs, Inc.
• Gino Picano, PA-C
• Melissa Ann Picariello-Landolfi
• Carlos Javier Pichardo Diaz, MD

• Mental Illness Community Based Residential Treatment Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.