SAFE SPACE THERAPY SERVICES, LCSW, PLLC (NPI# 1215313184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215313184 |
| Entity Type | Organization |
| Organization Name | SAFE SPACE THERAPY SERVICES, LCSW, PLLC |
| Practice Address |
981 Morris Park Ave Bronx NY 10462-3766 |
| Mailing Address |
1162 E 223rd St Bronx NY 10466-5833 |
| Practice Telephone | 3472818188 |
| Practice Fax Number | 7183034314 |
| Mailing Telephone | 3472818188 |
| Mailing Fax Number | 7183034314 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MRS. JENNIFER B JACKSON (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 3472818188 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
072171 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03148987 | 05 |
| Street Address |
981 MORRIS PARK AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10462-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| 1467076968 | B Well With Brooke LLC | Clinic/Center | 3750 Hudson Manor Ter Apt 1ae, Bronx, NY 10463-1167 | 2020-06-01 |
| 1366988362 | Postgraduate Center for Mental Health | Clinic/Center | 3525 Hull Ave, Bronx, NY 10467-1604 | 2017-01-13 |
| 1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1871974261 | Milestone Psychotherapy, Lcsw, PC | Clinic/Center | 2010 Williamsbridge Rd, 2nd Floor, Bronx, NY 10461-1603 | 2015-06-11 |
| 1023130580 | Our Lady of Mercy Mhc | Clinic/Center | 4401 Bx. Boulevard, Bronx, NY 10470 | 2007-04-04 |
| 1932231107 | Fordham Tremont Cmhc | Clinic/Center | 2021 Grandconcourse Ave, Bronx, NY 10469 | 2007-03-12 |
| 1710022330 | Argus Community, Inc. | Clinic/Center | 402 E 156th St, Bronx, NY 10455-1232 | 2007-02-21 |
| 1962593210 | Yeshiva University | Clinic/Center | 2527 Glebe Avenue, Bronx, NY 10461 | 2006-09-28 |
| 1174557409 | Riverdale Mental Health Association Inc | Clinic/Center | 5676 Riverdale Avenue, Bronx, NY 10471 | 2006-07-11 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.