YOUNG ADULT INSTITUTE, INC (NPI# 1063884914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063884914 |
| Entity Type | Organization |
| Organization Name | YOUNG ADULT INSTITUTE, INC |
| Other Organization Name | YOUNG ADULT INSTITUTE, INC / FOUNTAIN AVE. |
| Practice Address |
888 Fountain Ave Wing 214 Brooklyn NY 11239-5907 |
| Mailing Address |
460 W 34th St New York NY 10001-2320 |
| Practice Telephone | 2122736206 |
| Mailing Telephone | 2122736206 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | GEORGE CONTOS (CEO) |
| Authorized Official Telephone | 2122736206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OPWDD OPERATING CERTIFICATE | 6113102 | 01 |
| Other Name | Type Code |
|---|---|
| Young Adult Institute, Inc / Fountain Ave. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023585700 | Young Adult Institute, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Town Square Pl Ste 1203, Jersey City, NJ 07310-2784 | 2018-10-31 |
| 1811495047 | Young Adult Institute, Inc | Case Management | 460 W 34th St Fl 11, New York, NY 10001-2320 | 2018-01-23 |
| Street Address |
888 FOUNTAIN AVE WING 214 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11239-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881733848 | State of New York | Intermediate Care Facility, Mentally Retarded | 888 Fountain Ave, Brooklyn, NY 11208-5907 | 2007-02-06 |
| 1548654932 | Services for The Underserved | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 888 Fountain Ave, Suite 221-224, Brooklyn, NY 11239-5907 | 2015-03-24 |
| 1629469341 | Young Adult Institute | Intermediate Care Facility, Mentally Retarded | 888 Fountain Ave, Brooklyn, NY 11239-5907 | 2015-02-17 |
| 1609264324 | Lisa Singh | Registered Nurse | 888 Fountain Ave, Brooklyn, NY 11239-5907 | 2015-01-05 |
| 1548488364 | Daniel Despen | Physician Assistant | 888 Fountain Ave, Brooklyn, NY 11208-5997 | 2007-04-24 |
| 1497974208 | Nasreen M Mirza | Family Medicine | 888 Fountain Ave, Brooklyn, NY 11208-5907 | 2007-04-24 |
| 1952529158 | Sharon Rose Abara-palaganas | Family Medicine | 888 Fountain Ave, Brooklyn, NY 11208-5907 | 2007-04-23 |
| 1992929269 | Francis Michael Cavaliere | Contractor | 888 Fountain Ave, Brooklyn, NY 11208-5907 | 2007-04-11 |
| 1720128796 | State of New York | Intermediate Care Facility, Mentally Retarded | 888 Fountain Ave, Brooklyn, NY 11208-5907 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486259 | Nicole Shari Clarke | Registered Nurse | 185 Arzly Loop, Brooklyn, NY 11239 | 2020-04-23 |
| 1760922348 | Justin Hinds | Licensed Practical Nurse | 1280 Croton Loop Apt. 5g, Brooklyn, NY 11239 | 2017-03-02 |
| 1003293119 | Nichole Atterbury | Licensed Practical Nurse | 200 Bethel Loop Apt11c, Brooklyn, NY 11239 | 2015-04-28 |
| 1770836983 | Micheline Mesidor | Early Intervention Provider Agency | 1201 Pennsylvania Avenue 15 H, Brooklyn, NY 11239 | 2012-10-25 |
| 1336498427 | Samuel Omotoye | Registered Nurse | 1425 Pennsylvanie Avenue, Apt. 16f, Brooklyn, NY 11239 | 2012-09-05 |
| 1659681179 | Leonida Sentillas Griffith | Occupational Therapy Assistant | 1155 Pennsylvania Avenue, Apartment 16d, Brooklyn, NY 11239 | 2010-10-18 |
| 1578887717 | Gail Marie Swayne | Speech-Language Pathologist | 562 Lousiana Avenue, Brooklyn, NY 11239 | 2010-03-17 |
| 1376626994 | Priscila Siagan Zabala | Internal Medicine | 614 Louisiana Ave, Suite I, Brooklyn, NY 11239 | 2006-10-24 |
| 1053402370 | Nabil Raoof | Pediatrics | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-09-28 |
| 1306892070 | Willoughby Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 660 Louisiana Avenue, Brooklyn, NY 11239 | 2006-05-25 |
| Find all providers in zip 11239 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733568 | Task Recovery Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2716 Avenue Y, Brooklyn, NY 11235-2008 | 2015-10-29 |
| 1245561539 | Carol Lilieth Adamson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1119 E 59th St, Brooklyn, NY 11234-3301 | 2010-01-26 |
| 1285873778 | Raquel Gabriel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1309 Park Pl, Brooklyn, NY 11213-2801 | 2009-02-07 |
| 1699921213 | Elizabeth Yusuf | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 959 Saint Marks Avenue, Brooklyn, NY 11213 | 2008-08-14 |
| 1528239373 | Paul J. Cooper Center for Human Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 235 Jerome St, Brooklyn, NY 11207-3209 | 2008-03-20 |
| 1790956548 | Paul J Cooper Center for Human Services, Inc - Ira | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 519 Rockaway Ave, Brooklyn, NY 11212-5638 | 2008-03-20 |
| 1730369760 | Human Care Services for Families and Children Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1575 50th St, Brooklyn, NY 11219-3746 | 2007-11-07 |
| 1790975563 | Block Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3094 Brighton 5th St, Apt. A6, Brooklyn, NY 11235-7041 | 2007-07-27 |
| 1972702355 | Block Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1531 67th St, Brooklyn, NY 11219-6302 | 2007-07-16 |
| 1942409339 | Block Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2548 E 22nd St, Brooklyn, NY 11235-2504 | 2007-07-16 |
| Find all providers in BROOKLYN | ||||
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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.