NPIMap

Organization Active NPI

Services for the Underserved - Mental Health Programs Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New York, NY
National Provider Identifier
1881816643
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC
Practice address
305 7TH Ave
New York, NY 10001-6008
Phone
(917) 408-1611
NPI assigned
May 2, 2007
Organization subpart
Yes
Parent organization
SUS-MENTAL HEALTH PROGRAMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Lin L. Yang, MBA
Title
Director of Medicaid Billing
Phone
(917) 408-1642

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X R033460-1 NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 216593-1 NY
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

305 7TH Ave
New York, NY 10001-6008

Mailing address

305 7TH Ave
New York, NY 10001-6008
Phone (917) 408-1611

Other names 1

  • SUS Wellness Works Mental Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Services for the Underserved Inc13 organizations share this tax ID, including this one
Part of
Sus Mental Health Programs Inc

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1881816643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016008",
            "telephone_number": "917-408-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016008",
            "telephone_number": "917-408-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUS-MENTAL HEALTH PROGRAMS, INC.",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAID BILLING",
        "authorized_official_telephone_number": "917-408-1642",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033460-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "216593-1",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUS Wellness Works Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.