NPIMap

Organization Active NPI

Vocational Instruction Project Community Services Inc

  • Health Maintenance Organization
  • Bronx, NY
National Provider Identifier
1851757272
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES INC
Practice address
770 E 176TH St
Bronx, NY 10460-4617
Phone
(718) 583-5150
NPI assigned
Jan 14, 2016
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Alice Maling
Title
Director
Phone
(718) 583-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

770 E 176TH St
Bronx, NY 10460-4617

Mailing address

770 E 176TH St
Bronx, NY 10460-4617
Phone (718) 583-5150

Other practice location 1

1910 Arthur Ave
9Thfloor
Bronx, NY 10457-6305
Phone (718) 583-5150

Other names 1

  • Wellness Center Mental Health Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120330000295 NY Part B Supplier - Clinic/Group Practice 7315949062 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bronx, NY
O20160907000491 NY Part A Provider - Federally Qualified Health Center (FQHC) 7315949062 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851757272. Details of each certification follow.

Federally qualified health center certification: CCN 571054

Legal name
VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 9, 2017
Last certification
Jan 9, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1983 in NY
Enrollment address
770 E 176TH St
Bronx, NY 10460-4617

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
V I P9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

1910 Arthur Ave
#9
Bronx, NY 10457
Phone (718) 583-5150

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Debbian Fletcher-Blake Individual Corporate OfficerCeo Jun 1, 2018
Operational/Managerial ControlCeo Jun 1, 2018
Neil M Leibowitz Individual Corporate Director Jan 1, 2018
Steve Edwards Individual Corporate DirectorBoard Secretary Jan 1, 2019
Amanda Heron Parsons Individual Corporate DirectorBoard Chair Jan 1, 2018
William Bifulco Individual Corporate DirectorVice Chair Jan 1, 2019
William Trust Individual Corporate Director Jan 1, 2014
Salvatore Gogliormella Individual Corporate Director Jan 1, 2018
Donna Lichti Individual Corporate Director Jan 1, 2018
Janine Van Staden Individual Corporate Director Jan 1, 2019
Charles Burgess Individual Corporate Director Jan 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1851757272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E 176TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604617",
            "telephone_number": "718-583-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E 176TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604617",
            "telephone_number": "718-583-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Arthur Ave",
            "address_2": "9THFLOOR",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104576305",
            "country_code": "US",
            "telephone_number": "718-583-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "MALING",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-583-5150"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Center Mental Health Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wellness Center Mental Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.