Active NPI
Erica Chin
- Clinical Child & Adolescent Psychologist
- Brooklyn, NY
National Provider Identifier
1881950400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 26 Court St Ste 2204
Brooklyn, NY 11242-1122 - Phone
- (917) 765-2026
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
26 Court St Ste 2204
Brooklyn, NY 11242-1122
Mailing address
118 State St Apt 4
Brooklyn, NY 11201-5538
Phone (617) 529-9151
Other practice location 1
210 E 64th St
New York, NY 10065-7471
Phone (212) 702-7363
Other practice location 2
3 Columbus Cir
Suite 1425
New York, NY 10019-1903
Phone (212) 246-5740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- ericachin@nslijmedgr.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1881950400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 STATE ST APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015538",
"telephone_number": "617-529-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST STE 2204",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421122",
"telephone_number": "917-765-2026"
}
],
"practiceLocations": [
{
"address_1": "210 E 64th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100657471",
"country_code": "US",
"telephone_number": "212-702-7363",
"fax_number": "212-702-7579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Columbus Cir",
"address_2": "Suite 1425",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191903",
"country_code": "US",
"telephone_number": "212-246-5740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "ERICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.