The Child Center of Ny, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE CHILD CENTER OF NY, INC.

Practice address

8956 162ND St
3Rd Floor
Jamaica, NY 11432-5072

Phone

(718) 297-8000

Fax

(718) 262-8228

NPI assigned

Jan 10, 2007

Last updated

Dec 19, 2013By 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

Ms. Jean M Coppola

Title

Director of Billing

Phone

(718) 651-7770

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Jamaica Family Center Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

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

• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Flushing, NY
  • NPI 1053460998

  O20041101000022

  Same enrollment
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Jamaica, NY
  • NPI 1235288333

  O20041101000022

  Same enrollment
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Jamaica, NY
  • NPI 1346399540

  O20041101000022

  Same enrollment
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Forest Hills, NY
  • NPI 1649329806

  O20041101000022

  Same enrollment
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Woodside, NY
  • NPI 1801945738

  O20041101000022

  Same enrollment
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Flushing, NY
  • NPI 1841349032

  O20041101000022

  Same enrollment
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Elmhurst, NY
  • NPI 1962551143

  O20041101000022

  Same enrollment

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1881743508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 QUEENS BLVD",
            "address_2": "LOWER LEVEL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774973",
            "telephone_number": "718-651-7770",
            "fax_number": "718-651-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 162ND ST",
            "address_2": "3RD FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325072",
            "telephone_number": "718-297-8000",
            "fax_number": "718-262-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD CENTER OF NY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "718-651-7770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7403085",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WV0071",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamaica Family Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Child Center of New York
• The Child Center of New York
• The Child Center of Ny
• The Child Center of Ny, Inc.
• The Child Center of Ny, Inc.
• The Dental Corner Care PC
• The GLBT Project, Inc
• The GLBT Project, Inc.
• The Mary Louis Academy
• The Real Midas Touch LLC

• Adult Mental Health Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.