ICD INTERNATIONAL CENTER FOR THE DISABLED (NPI# 1013112358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013112358 |
| Entity Type | Organization |
| Organization Name | ICD INTERNATIONAL CENTER FOR THE DISABLED |
| Other Organization Name | ICD MENTAL HEALTH CLINIC PS 146 |
| Practice Address |
421 E 106th St New York NY 10029-4846 |
| Mailing Address |
340 E 24th St New York NY 10010-4019 |
| Practice Telephone | 2129966127 |
| Practice Fax Number | 2128288453 |
| Mailing Telephone | 2125856000 |
| Mailing Fax Number | 2125856262 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LES HALPERT (CEO) |
| Authorized Official Telephone | 2125856009 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
6704100B | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS CARE NEW YORK | 040816000080 | 01 |
| NY | NYPRESBY HEALTH PLAN | 58P0081 | 01 |
| NY | BEACON HEALTH STRATEGIES | 1054350 | 01 |
| NY | 00244413 | 05 | |
| NY | PERFORMAX-MULTIPLAN | A31902 | 01 |
| Other Name | Type Code |
|---|---|
| ICD Mental Health Clinic PS 146 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174726616 | Icd International Center for The Disabled | Clinic/Center | 340 E 24th St, New York, NY 10010-4019 | 2007-06-11 |
| 1912100454 | Icd International Center for The Disabled | Clinic/Center | 340 E 24th St, New York, NY 10010-4019 | 2007-06-11 |
| 1295808020 | Icd International Center for The Disabled | Clinic/Center | 340 E 24th St, New York, NY 10010-4019 | 2006-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ICD INTERNATIONAL CENTER FOR THE DISABLED | 340 E. 24th St., New York, Ny 10010 |
| Street Address |
421 E 106TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329273 | Amanda Loeb | Speech-Language Pathologist | 421 E 106th St, New York, NY 10029-4846 | 2016-11-30 |
| 1104222355 | James Corbo | Speech-Language Pathologist | 421 E 106th St, New York, NY 10029-4846 | 2014-11-17 |
| 1376976241 | Michelle Redler | Occupational Therapist | 421 E 106th St, New York, NY 10029-4846 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| 1093736696 | Bethany Novak | Clinic/Center | 312 E 94th St, New York, NY 10128-5604 | 2006-07-21 |
| 1578164331 | Meredith Weiss, Md | Clinic/Center | 111 E 80th St Apt 1d, New York, NY 10075-0350 | 2020-11-06 |
| 1205443066 | Dr. Melita Psychological Services, Pllc | Clinic/Center | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2020-09-25 |
| 1558894253 | Mount Sinai Medical Center | Clinic/Center | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-04-10 |
| 1073901260 | Wendy Olesker Ph.d P.C. | Clinic/Center | 15 W 72nd St, New York, NY 10023 | 2014-12-23 |
| 1891034617 | Stephanie Fagin-jones Phd Clinical Psychologist PC | Clinic/Center | 210 W 70th St, 201, New York, NY 10023-4304 | 2013-02-14 |
| 1386884732 | Center for Living | Clinic/Center | 226 E 52nd St, New York, NY 10022-6201 | 2009-02-25 |
| 1780838060 | Playdate Lmsw Social Work Pllc | Clinic/Center | 208 W 119th St, Suite 3r, New York, NY 10026-1209 | 2008-11-12 |
| 1386816726 | Angela Rivera | Clinic/Center | 320 E 94th St, New York, NY 10128-5604 | 2008-03-26 |
| 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.