Icd International Center for the Disabled

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6704100A Issued in NY

Legal business name

ICD INTERNATIONAL CENTER FOR THE DISABLED

Practice address

340 E 24TH St
New York, NY 10010-4019

Phone

(212) 585-6000

Fax

(212) 585-6262

NPI assigned

Jun 11, 2007

Last updated

Jan 4, 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

Les Halpert, PH.D.

Title

President and Ceo

Phone

(212) 585-6009

Specialties & licenses 2

Addresses

Other identifiers 7

Locations

Practitioners 1

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.

• Leslie Howard Halpert, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1770543456
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1912100454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6000",
            "fax_number": "212-585-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6000",
            "fax_number": "212-585-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICD INTERNATIONAL CENTER FOR THE DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "212-585-6009",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6704100A",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "090110619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NEW YORK",
            "identifier": "040816000080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-BMP",
            "identifier": "3186529",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244413",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYPRESBY HEALTH PLAN",
            "identifier": "58P0081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1054350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "DB5292",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMAX-MULTIPLAN",
            "identifier": "A31902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn J Icasiano, MD
• Icd Center
• Icd International Center for the Disabled
• Icd International Center for the Disabled
• Icd International Center for the Disabled
• Megan Ice, PHD
• Mika Ichihara, L.AC.
• Rika Ichinose
• Masanori Ichise, MD
• James N Icken, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in New York, NY
• Providers in New York, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.