NPIMap

Organization Active NPI

Theracare

  • Point of Service
  • Bronx, NY
National Provider Identifier
1831463249
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
72070938 Issued in NY
Legal business name
THERACARE
Practice address
3250 Westchester Ave RM 108
Bronx, NY 10461-4548
Phone
(718) 597-5558
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
THERACAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Ms. Trecia A Kellogg, LMSWNPI 1518230622
Title
ABA Service Provider
Phone
(914) 450-2399

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
Point of Service 305S00000X 72070938 NY Primary

Addresses

Primary practice location

3250 Westchester Ave RM 108
Bronx, NY 10461-4548

Mailing address

115 Lawton St Apt 5H
Yonkers, NY 10705-4636
Phone (914) 450-2399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1831463249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAWTON ST APT 5H",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054636",
            "telephone_number": "914-450-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE RM 108",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614548",
            "telephone_number": "718-597-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERACARE",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "TRECIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ABA SERVICE PROVIDER",
        "authorized_official_telephone_number": "914-450-2399",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "72070938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.