JEWISH BOARD OF FAMILY AND CHILDREN SERVICES (NPI# 1295003838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295003838 |
Entity Type | Organization |
Organization Name | JEWISH BOARD OF FAMILY AND CHILDREN SERVICES |
Other Organization Name | STATEN ISLAND CHILDREN'S COMMUNITY RESIDENCE |
Practice Address |
19 Vedder Ave Staten Island NY 10314-1509 |
Practice Telephone | 7183702975 |
Practice Fax Number | 7184947836 |
Mailing Telephone | 7183702975 |
Mailing Fax Number | 7184947836 |
Enumeration Date | 2011-12-11 |
Last Update Date | 2011-12-11 |
Authorized Official Name | SHEILA CRISTINA SANTIAGO (PROGRAM DIRECTOR) |
Authorized Official Telephone | 7183702975 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 3980341 | NY | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Staten Island Children's Community Residence | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689758955 | Jewish Board of Family and Children Services | PACE Provider Organization | Jewish Board and Children and Family Services, Pride of Judea Community Services (clinic), Douglaston, NY 11362 | 2006-10-24 |
1235512989 | Jewish Board of Family and Children Services | Early Intervention Provider Agency | 34 W 139th St, New York, NY 10037-1508 | 2015-06-30 |
1992111991 | Jewish Board of Family and Children Services | Voluntary or Charitable | 2928 W 36th St, Brooklyn, NY 11224-1410 | 2014-07-10 |
1194142083 | Jewish Board of Family and Children Services | Case Management | 2020 Coney Island Ave, Brooklyn, NY 11223-2329 | 2014-03-28 |
1326312950 | Jewish Board of Family and Children Services | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2012-02-29 |
1154657617 | Jewish Board of Family and Children Services | Exclusive Provider Organization | 2928 W 36th St, Brooklyn, NY 11224 | 2009-10-19 |
1528213527 | Jewish Board of Family and Children Services | Community Based Residential Treatment Facility, Mental Illness | 55 Westchester Sq, Bronx, NY 10461-3525 | 2008-11-18 |
Street Address |
19 VEDDER AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-1509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487706792 | Sheila Cristina Santiago | Social Worker | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2007-01-17 |
1053839191 | Kim Incontrera | Student in an Organized Health Care Education/Training Program | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2017-09-08 |
1053833467 | Isaiah Bennett | Counselor | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2017-07-07 |
1124427877 | Emily Willstatter | Student in an Organized Health Care Education/Training Program | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2014-08-19 |
1467881912 | Candace Marie Seaman | Social Worker | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2013-11-05 |
1265874705 | Stephanie Torres | Student in an Organized Health Care Education/Training Program | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2013-07-25 |
1073861209 | Jillian Debenedetto | Student in an Organized Health Care Education/Training Program | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2012-08-20 |
1194001644 | Donna Teta | Registered Nurse | 19 Vedder Ave, Staten Island, NY 10314-1509 | 2011-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
Find all providers in zip 10314 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346386356 | Volunteers of America-gny | Community Based Residential Treatment Facility, Mental Illness | 2015 Forest Ave, Suite 2b, Staten Island, NY 10303-1736 | 2007-01-29 |
1043584154 | Listening Carefully Individual & Family Counseling Services | Community Based Residential Treatment Facility, Mental Illness | 77 Oceanic Ave, Staten Island, NY 10312-6513 | 2012-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922661784 | Greater Horizons, House Inc. | Community Based Residential Treatment Facility, Mental Illness | 25 Indian Rd Apt 6f, New York, NY 10034-1018 | 2019-04-17 |
1013474113 | Hope House On Crotona Park, LLC | Community Based Residential Treatment Facility, Mental Illness | 853 Crotona Park N, Bronx, NY 10460-4701 | 2019-02-25 |
1457825135 | Eating Disorder Treatment of New York, LLC | Community Based Residential Treatment Facility, Mental Illness | 1 Saint Andrews Ln, Glen Cove, NY 11542-2221 | 2019-01-16 |
1679011530 | Nando Pelusi, Phd | Community Based Residential Treatment Facility, Mental Illness | 305 Hicks Street, 2, Brookyn, NY 11201 | 2017-02-10 |
1245684729 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 138 W 143rd St, New York, NY 10030-1615 | 2016-04-20 |
1205280955 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 22 Convent Ave, New York, NY 10027-2604 | 2016-04-19 |
1245602838 | Nyeshia Skipwith | Community Based Residential Treatment Facility, Mental Illness | 37 Titmus Dr, Mastic, NY 11950-2011 | 2015-10-22 |
1447663067 | 187 Cottage Avenue Corp | Community Based Residential Treatment Facility, Mental Illness | 187 Cottage Ave, Mount Vernon, NY 10550-1446 | 2014-06-11 |
1235542135 | Erin Faryna | Community Based Residential Treatment Facility, Mental Illness | 51 Rossler Ave, Cheektowaga, NY 14206-2409 | 2014-06-09 |
1508280504 | Advanced Therapeutic Solutions | Community Based Residential Treatment Facility, Mental Illness | 1731 61st St Apt 4, Brooklyn, NY 11204-2219 | 2014-02-11 |
Find all providers with the same taxonomy |
City | STATEN ISLAND |
Zip Code | 10314 |
Please comment or provide details below to improve the information on JEWISH BOARD OF FAMILY AND CHILDREN SERVICES.
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.