Organization Active NPI

Transitional Services for Ny

  • Adult Mental Health Clinic/Center
  • Whitestone, NY
National Provider Identifier
1932374972
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRANSITIONAL SERVICES FOR NY
Practice address
1016 162ND St
Whitestone, NY 11357-2124
Phone
(718) 746-6647
Fax
(718) 746-6799
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Kevin Pettaway
Title
Billing Supervisor
Phone
(718) 746-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1016 162ND St
Whitestone, NY 11357-2124

Mailing address

1016 162ND St
Whitestone, NY 11357-2124
Phone (718) 746-6647

Other identifiers 1

IdentifierTypeStateIssuer
02736932MedicaidNY

Other names 1

  • TSI Other name

National Provider Directory

National Provider Directory
Tax ID family
Transitional Serv for N Y9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1932374972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 162ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572124",
            "telephone_number": "718-746-6647",
            "fax_number": "718-746-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 162ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572124",
            "telephone_number": "718-746-6647",
            "fax_number": "718-746-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL SERVICES FOR NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "PETTAWAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "718-746-6647"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.