NPIMap

Organization Active NPI

Park Slope Center for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
National Provider Identifier
1851382188
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PARK SLOPE CENTER FOR MENTAL HEALTH, INC
Practice address
348 13TH St
Suite 203
Brooklyn, NY 11215-5004
Phone
(718) 788-2461
Fax
(718) 788-8274
NPI assigned
Nov 4, 2005
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Milada Castoro
Title
Cfo
Phone
(718) 788-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

348 13TH St
Suite 203
Brooklyn, NY 11215-5004

Mailing address

348 13TH St
Suite 203
Brooklyn, NY 11215-5004
Phone (718) 788-2461

Other practice location 1

255 15th St
Brooklyn, NY 11215-4988
Phone (718) 788-2461

Other identifiers 1

IdentifierTypeStateIssuer
01141097MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031226000202 NY Part B Supplier - Clinic/Group Practice 8224936455 Receives reassigned benefits from 30 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

Practitioners & affiliated clinicians

Practitioners 231

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 231

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1851382188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "address_2": "SUITE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155004",
            "telephone_number": "718-788-2461",
            "fax_number": "718-788-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "address_2": "SUITE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155004",
            "telephone_number": "718-788-2461",
            "fax_number": "718-788-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 15th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112154988",
            "country_code": "US",
            "telephone_number": "718-788-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK SLOPE CENTER FOR MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "CASTORO",
        "authorized_official_first_name": "MILADA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-788-2461"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01141097",
            "state": "NY"
        }
    ],
    "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 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.