FEDCAP REHABILITATION SERVICES, INC. (NPI# 1235374448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235374448 |
| Entity Type | Organization |
| Organization Name | FEDCAP REHABILITATION SERVICES, INC. |
| Practice Address |
1011a Washington Ave Bronx NY 10456-6628 |
| Mailing Address |
633 3rd Ave Fl 6 New York NY 10017-6733 |
| Practice Telephone | 7187645127 |
| Mailing Telephone | 2127274227 |
| Mailing Fax Number | 2127274374 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | MR. CHRISTINE MCMAHON (CEO) |
| Authorized Official Telephone | 2127274275 |
| Authorized Official Credential | EXECUTIVE DIRECT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 6001L001 | NY | Agencies |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
8805001A | NY | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 W 14th St, Fedcap Rehabilitation Services, New York, NY 100117102 | 2127274214 | 2127274374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801390133 | Fedcap Rehabilitation Services, Inc. | Home Health | 123 William St Fl 9, New York, NY 10038-3812 | 2018-03-21 |
| 1821309980 | Fedcap Rehabilitation Services, Inc. | Community/Behavioral Health | 373 Route 46 W, Bldg. D Suite 110, Fairfield, NJ 07004-2442 | 2010-06-23 |
| 1043684541 | Fedcap Rehabilitation Services, Inc. | Community/Behavioral Health | 10 Ferry St, Suite 308, Concord, NH 03301-5022 | 2015-11-20 |
| 1730415399 | Fedcap Rehabilitation Services, Inc. | Home Health | 1011 Washington Ave, Bronx, NY 10456-6619 | 2009-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FEDCAP REHABILITATION SERVICES, INC. | 633 3rd Ave 6th Fl, New York, NY 10017-6787 |
| Massachusetts Corporations | FEDCAP REHABILITATION SERVICES, INC. | 633 Third Avenue, 6th Floor, New York, NY 10017 |
| Connecticut Business Registrations | FEDCAP REHABILITATION SERVICES, INC. | 633 3rd Ave, 6 Floor, New York, NY 10017 |
| Street Address |
1011A WASHINGTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10456-6628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699747 | Delilah Tavarez | Social Worker | 1011a Washington Ave, Ground Floor, Bronx, NY 10456-6628 | 2020-08-13 |
| 1487170395 | Chantel Neshea Jamison-brown | Counselor | 1011a Washington Ave, Fedcap Behavioral Services, Bronx, NY 10456 | 2017-08-22 |
| 1962952929 | Ivelisses Davila | Social Worker | 1011a Washington Ave, Bronx, NY 10456-6628 | 2016-10-13 |
| 1003228255 | Kristina Sanchez | Counselor | 1011a Washington Ave, Bronx, NY 10456-6628 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528232220 | Cleveland Shelton Joseph | Clinic/Center | 4360 Furman Ave Apt 4h, Bronx, NY 10466-1544 | 2008-04-15 |
| 1467523985 | Lifestyle Solutions, Inc. | Clinic/Center | 4346 White Plains Rd, Bronx New York, Bronx, NY 10466-1408 | 2006-11-13 |
| 1821271214 | Our Lady of Mercy Medical Center Outpatient Psychiatric Programs | Clinic/Center | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2007-12-09 |
| 1861570517 | Jewish Association for Services for The Aged | Clinic/Center | 1 Fordham Plaza, Suite 908, Bronx, NY 10458-5871 | 2006-11-01 |
| 1649299694 | Riverdale Mental Health Clinic-mica Pgrm | Clinic/Center | 5676 Riverdale Ave, Suite 202, Bronx, NY 10471-2138 | 2006-07-19 |
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| 1467069302 | Morning Dew Therapy, LLC | Clinic/Center | 370 Westchester Ave Apt 6u, Port Chester, NY 10573-3647 | 2020-09-24 |
| 1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
| 1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
| 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.