ST VICENT SERVICES GOWANUS (NPI# 1427220698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427220698 |
| Entity Type | Organization |
| Organization Name | ST VICENT SERVICES GOWANUS |
| Practice Address |
66 Boerum Pl Brooklyn NY 11201-5705 |
| Mailing Address |
627 E 31st St Brooklyn NY 11210-2637 |
| Practice Telephone | 7185223700 |
| Practice Fax Number | 7184887618 |
| Mailing Telephone | 7185223700 |
| Mailing Fax Number | 7184887618 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JEFFREY BENENATI (CONTROLLER) |
| Authorized Official Telephone | 7184222204 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST.VINCENT SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ========= | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02287805 | 05 |
| Street Address |
66 BOERUM PL |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003015694 | St. Vincent's Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2007-07-13 |
| 1831711365 | Kim Robinson-smith Rn | Registered Nurse | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2020-05-06 |
| 1013541135 | Shanna Gonzalez | Social Worker | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2020-02-27 |
| 1760024327 | Mary C Darling | Social Worker | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2019-10-15 |
| 1376194860 | Devon Heise | Counselor | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2019-09-25 |
| 1245786714 | Florence Cusack | Social Worker | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2016-08-25 |
| 1942662101 | Adolfo Lewis | Social Worker | 66 Boerum Pl, 1st Floor, Brooklyn, NY 11201-5705 | 2016-03-25 |
| 1528431863 | Kelsey Jacoby | Social Worker | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2015-11-09 |
| 1841677697 | Beth Wecksell | Psychologist | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2015-04-30 |
| 1851782981 | Tierra Chavis | Counselor | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2015-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| 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.