ICL-EAST NEW YORK PREVENTION-BASED SATELLITE (NPI# 1902054943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902054943 |
| Entity Type | Organization |
| Organization Name | ICL-EAST NEW YORK PREVENTION-BASED SATELLITE |
| Practice Address |
40 Rector St Fl 11 New York NY 10006-1705 |
| Mailing Address |
350 Linwood St Brooklyn NY 11208-2116 |
| Practice Telephone | 2123853030 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | MR. DEWEY HOWARD (C F O) |
| Authorized Official Telephone | 2123853030 |
| Is Organization Subpart | Y |
| Parent Organization Name | INSTITUTE FOR COMMUNITY LIVING, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7720101B | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 7720101B | 05 |
| Street Address |
40 RECTOR ST FL 11 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205166113 | Icl Individual Support Services | Day Training, Developmentally Disabled Services | 40 Rector St Fl 11, New York, NY 10006-1705 | 2009-12-29 |
| 1669620555 | Shallow Intermediate School (ms227) | Case Management | 40 Rector St Fl 11, New York, NY 10006-1705 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
| Find all providers in zip 10006 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1275152605 | Norma J Alexander | Community/Behavioral Health | 26 Madison St Apt 8i, New York, NY 10038-1206 | 2020-04-15 |
| 1013546779 | Sandra Feist Lcsw, P.C. | Community/Behavioral Health | 133 W 72nd St Rm 404, New York, NY 10023-3237 | 2020-04-05 |
| 1710517248 | Head2sole Care LLC | Community/Behavioral Health | 700 Columbus Ave Apt 14f, New York, NY 10025-6679 | 2020-01-23 |
| 1689210056 | Elana Ester Oppenheim | Community/Behavioral Health | 336 E 71st St Apt 5e, New York, NY 10021-5221 | 2019-11-20 |
| 1396389565 | Recovery Health Solutions Ipa, LLC | Community/Behavioral Health | 315 W 36th St, New York, NY 10018-6404 | 2019-10-31 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| Find all providers in NEW YORK | ||||
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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.