HEAD START HOUSING AND REHABILITATION CORPORATION (NPI# 1265092514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265092514 |
| Entity Type | Organization |
| Organization Name | HEAD START HOUSING AND REHABILITATION CORPORATION |
| Practice Address |
3818 Church Ave Apt 1b Brooklyn NY 11203-2907 |
| Mailing Address |
3818 Church Ave Brooklyn NY 11203-2907 |
| Practice Telephone | 6469018673 |
| Mailing Telephone | 6469018673 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | DR. ABIGAIL MATTHEW (CEO) |
| Authorized Official Telephone | 6469018673 |
| Authorized Official Credential | DBH (ABD) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HEAD START HOUSING AND REHABILITATION CORPORATION | 11 Broadway Suite 615, Ny, New York 10004 |
| Street Address |
3818 CHURCH AVE APT 1B |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| 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 |
|---|---|---|---|---|
| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1386288587 | Kings Psychological Services | Clinic/Center | 6735 Ridge Blvd Apt 2c, Brooklyn, NY 11220-5236 | 2019-10-30 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1427278548 | Brooklyn Psychiatric Centers,inc | Clinic/Center | 189 Montague Street, Suite 418, Brooklyn, NY 11201 | 2007-04-30 |
| 1467571653 | Jewish Child Care Association of New York | Clinic/Center | 858 East 29th Street, Brooklyn, NY 11210-2927 | 2007-03-28 |
| 1821159328 | National Society for Hebrew Day Schools | Clinic/Center | 813 Quentin Rd Ste 203, Brooklyn, NY 11223-2251 | 2006-12-12 |
| 1497832919 | Beverley Mack Harry Consulting Services Inc. | Clinic/Center | 738 Crown St, Brooklyn, NY 11213-5442 | 2006-11-01 |
| 1922191089 | Brooklyn Psychiatric Centers, Inc | Clinic/Center | 3043 Avenue W, Brooklyn, NY 11229-5505 | 2006-10-02 |
| 1851484901 | Brooklyn Pyschiatric Centers, Inc | Clinic/Center | 1310 Rockaway Pkwy, Brooklyn, NY 11236-2339 | 2006-10-02 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on HEAD START HOUSING AND REHABILITATION CORPORATION.
| 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.