THE CHILD CENTER OF NY, INC. (NPI# 1235288333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235288333 |
| Entity Type | Organization |
| Organization Name | THE CHILD CENTER OF NY, INC. |
| Other Organization Name | SOUTH JAMAICA CLINIC |
| Practice Address |
11515 Sutphin Blvd Jamaica NY 11434-1020 |
| Mailing Address |
6002 Queens Blvd Lower Level Woodside NY 11377-4973 |
| Practice Telephone | 7186594000 |
| Practice Fax Number | 7186591405 |
| Mailing Telephone | 7186517770 |
| Mailing Fax Number | 7186515029 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MS. JEAN M COPPOLA (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 7186517770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS BLUE SHIELD | WV0071 | 01 |
| NY | 00244371 | 05 | |
| NY | GHI | 7403085 | 01 |
| Other Name | Type Code |
|---|---|
| South Jamaica Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346399540 | The Child Center of Ny, Inc. | Clinic/Center | 8956 162nd St, 2nd Floor, Jamaica, NY 11432-5072 | 2007-01-09 |
| 1639228596 | The Child Center of Ny, Inc. | Case Management | 6002 Queens Blvd, The Ira Meyer Children's Center, Woodside, NY 11377-4973 | 2007-01-09 |
| 1962551143 | The Child Center of Ny, Inc. | Clinic/Center | 8114 Queens Blvd, Elmhurst, NY 11373-3789 | 2007-01-09 |
| 1467622423 | The Child Center of Ny, Inc. | Community/Behavioral Health | 6002 Queens Blvd, Woodside, NY 11377-4973 | 2008-03-06 |
| 1518016237 | The Child Center of Ny, Inc. | Clinic/Center | 8114 Queens Blvd, Elmhurst, NY 11373-3789 | 2007-01-10 |
| 1881743508 | The Child Center of Ny, Inc. | Clinic/Center | 8956 162nd St, 3rd Floor, Jamaica, NY 11432-5072 | 2007-01-10 |
| 1053460774 | The Child Center of Ny, Inc. | Clinic/Center | 14015b Sanford Ave, Flushing, NY 11355-2557 | 2007-01-10 |
| 1649329806 | The Child Center of Ny, Inc. | Clinic/Center | 11835 Queens Blvd, 6th Floor, Forest Hills, NY 11375-7211 | 2007-01-09 |
| 1841349032 | The Child Center of Ny, Inc. | Clinic/Center | 14015b Sanford Ave, 2nd Floor, Flushing, NY 11355-2557 | 2007-01-09 |
| 1053460998 | The Child Center of Ny, Inc. | Clinic/Center | 14015b Sanford Ave, Flushing, NY 11355-2557 | 2007-01-09 |
| Street Address |
11515 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114083417 | Marilyn R Segel | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2006-12-29 |
| 1417591421 | Joy Collins | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2019-11-01 |
| 1972164382 | Osdely Castillo | Counselor | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2019-06-26 |
| 1891350948 | Roany Isabel Molina | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2019-05-03 |
| 1922662568 | Imani Nyala Springer | Counselor | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2019-04-29 |
| 1659856813 | Patrick Campbell | Student in an Organized Health Care Education/Training Program | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2018-10-03 |
| 1437677937 | Guadalupe Del Rio | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2017-09-05 |
| 1376079889 | Kathryn Guarino | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2017-05-03 |
| 1922533041 | Ronica Sobers | Registered Nurse | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2017-04-26 |
| 1417497702 | Amy Gordon | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| 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 |
|---|---|---|---|---|
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1013165315 | The Child Center of Ny | Clinic/Center | 10835 157th St, Room 121 D, Jamaica, NY 11433-2744 | 2008-08-29 |
| 1346399540 | The Child Center of Ny, Inc. | Clinic/Center | 8956 162nd St, 2nd Floor, Jamaica, NY 11432-5072 | 2007-01-09 |
| 1144878604 | The Mary Louis Academy | Clinic/Center | 17621 Wexford Ter, Jamaica, NY 11432-2926 | 2019-08-28 |
| 1003027053 | The Child Center of New York | Clinic/Center | 8956 162nd St, 2nd Floor, Jamaica, NY 11432-5072 | 2007-05-24 |
| 1881743508 | The Child Center of Ny, Inc. | Clinic/Center | 8956 162nd St, 3rd Floor, Jamaica, NY 11432-5072 | 2007-01-10 |
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|---|---|---|---|---|
| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1023560380 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2016-11-02 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1306236294 | The Brain Boosters, Inc. | Clinic/Center | 333 Jericho Tpke, Suite 200, Jericho, NY 11753-1100 | 2015-01-29 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| Find all providers with the same taxonomy | ||||
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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.