Yonkers Residential Center,Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

YONKERS RESIDENTIAL CENTER,INC.

Practice address

317 S Broadway
1St Floor
Yonkers, NY 10705-2008

Phone

(914) 476-6502

Fax

(914) 476-2421

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Corke

Title

Executive Director

Phone

(914) 476-6502

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth Anne Cumisky, LICENSED MASTER SOCI

  • Mental Health Counselor
  • Yonkers, NY
  • NPI 1932263373
  NPD (past)
• Luis A. Gonzalez, CASAC-T

  • Addiction (Substance Use Disorder) Counselor
  • Yonkers, NY
  • NPI 1760637730
  NPD (past)
• Lisa C. Swerdlow, LMSW

  • Mental Health Counselor
  • Yonkers, NY
  • NPI 1457502734
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962563353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052008",
            "telephone_number": "914-476-6502",
            "fax_number": "914-476-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052008",
            "telephone_number": "914-476-6502",
            "fax_number": "914-476-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONKERS RESIDENTIAL CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-476-6502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01072251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yonkers Public Schools
• Yonkers Public Schools
• Yonkers Public Schools
• Yonkers Radiation Medical Practice, PC
• Yonkers Radiology PC
• Yonkers Service Center
• Yonkers Spine Medicine PLLC
• Yonkers Urology P.C.
• Young Adult Institute, Inc.
• Laura Elizabeth Young

• Adolescent and Children Mental Health Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.