Hickok Center for Brain Injury, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HICKOK CENTER FOR BRAIN INJURY, INC.

Practice address

114 S Union St
Rochester, NY 14607-1831

Phone

(585) 271-8640

Fax

(585) 271-8688

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elaine M. Comarella, MBA

Title

Executive Director

Phone

(585) 271-8640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1952504417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S UNION ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071831",
            "telephone_number": "585-271-8640",
            "fax_number": "585-271-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S UNION ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071831",
            "telephone_number": "585-271-8640",
            "fax_number": "585-271-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKOK CENTER FOR BRAIN INJURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "COMARELLA",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-271-8640",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01708667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Hickey, M.S. CCC-SLP
• Martin E. Hickey, M.D
• Steven Frederick Hickey, OPTHALMIC DISPENSER
• Natalie Banks Hickman, REGISTERED NURSE
• Tracy K Hickmott, LPN
• Barbara Hicks Shapiro, LCSW, ACSW,BCD
• David G. Hicks, MD
• George Leslie Hicks, M.D.
• R. Scott Hicks, MD
• Sandra L Hicks, LMSW

• Developmentally Disabled Services Day Training Agency in Rochester, NY
• Providers in Rochester, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.