Evelyn Douglin Center Spin

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EVELYN DOUGLIN CENTER SPIN

Practice address

470 Chester St
Brooklyn, NY 11212-5505

Phone

(718) 965-1998

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By 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

Daniella Volcy

Title

Aed

Phone

(718) 965-1998

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Evelyn Douglin Center Spin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Evelyn Douglin Center Spin

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1972049039
  NPD tax ID

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1891232179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 37TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322417",
            "telephone_number": "718-965-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CHESTER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125505",
            "telephone_number": "718-965-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN DOUGLIN CENTER SPIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "VOLCY",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "AED",
        "authorized_official_telephone_number": "718-965-1998"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90580472",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90580471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve and R Pharmacy Inc.
• Eve Consolidated Business Enterprises Inc
• Eve Pharmacy Inc.
• Eve Pharmacy Inc.
• Rachel Evelkin
• Evelyn Douglin Center Spin
• Tracy Evelyn-Roker
• Maureen Monica Evelyn, RPH
• Eventpro Consulting Inc
• Evercare Medical PC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.