INSTITUTE FOR COMMUNITY LIVING (NPI# 1629226915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629226915 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR COMMUNITY LIVING |
| Practice Address |
2384 Atlantic Avenue Brooklyn NY 11322 |
| Mailing Address |
40 Rector St New York NY 10006-1705 |
| Practice Telephone | 2123853030 |
| Practice Fax Number | 2123852380 |
| Mailing Telephone | 2123853030 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | DR. PETER CAMPANELLI (PRESIDENT) |
| Authorized Official Telephone | 2123853030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 074164 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01551404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154875664 | Institute for Community Living | Community/Behavioral Health | 991 Montgomery St Apt 1r, Brooklyn, NY 11213-5740 | 2016-08-12 |
| 1396996286 | Institute for Community Living | Community Based Residential Treatment Facility, Mental Illness | 161 Emerson Place, Brooklyn, NY 11205 | 2008-10-09 |
| 1093977837 | Institute for Community Living | Community/Behavioral Health | 971 Jerome Street, Brooklyn, NY 11207-9252 | 2008-07-01 |
| 1679027510 | Institute for Community Living | Social Worker | 484 Rockaway Ave, Brooklyn, Brooklyn, NY 11212-5636 | 2016-08-09 |
| 1811399462 | Institute for Community Living | Community/Behavioral Health | 2128 Rockaway Pkwy, Brooklyn, NY 11236-5802 | 2014-09-25 |
| 1164868774 | Institute for Community Living | Community/Behavioral Health | 2384 Atlantic Ave, 4th Floor, Brooklyn, NY 11233-3402 | 2013-05-22 |
| 1346491230 | Institute for Community Living | Community Based Residential Treatment Facility, Mental Illness | 161 Emerson Place, Brooklyn, NY 11205 | 2008-10-09 |
| 1619128139 | Institute for Community Living | Case Management | 198 Linden Blvd, Brooklyn, NY 11226-3627 | 2008-10-02 |
| 1932252921 | Institute for Community Living | Community/Behavioral Health | 2581 Atlantic Ave, Brooklyn, NY 11207-2412 | 2007-01-21 |
| Street Address |
2384 ATLANTIC AVENUE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1255932935 | Emily W Wang | Speech-Language Pathologist | 486 E 28th St Apt 702, Brooklyn, NY 11226-7994 | 2020-11-08 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1740881663 | Lauren Amigo | Art Therapist | 86 Fleet Pl Apt 5t, Brooklyn, NY 11201-7132 | 2020-11-06 |
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1437750585 | Eric Grant Shorey | Psychoanalyst | 91 Jewel St Apt 3r, Brooklyn, NY 11222-3025 | 2020-11-05 |
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1043811102 | Krisja Hendricks | Dance Therapist | 978 Metropolitan Ave Apt 2, Brooklyn, NY 11211-2635 | 2020-11-05 |
| Find all providers in BROOKLYN | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943595 | Maloney Counseling LLC | Community/Behavioral Health | 147 Prince St # 66b, Brooklyn, NY 11201-3022 | 2020-05-08 |
| 1417577545 | Anchor Counseling and Therapy Services | Community/Behavioral Health | 47 Bunny Ln, Brooklyn, CT 06234-3302 | 2020-04-18 |
| 1427681725 | Advancing Avenues Aba LLC | Community/Behavioral Health | 698 4th Ave, Brooklyn, NY 11232-1237 | 2020-02-15 |
| 1093354912 | Edwin Gonzalez | Community/Behavioral Health | 50 Manhattan Ave Apt 4b, Brooklyn, NY 11206-3149 | 2019-12-23 |
| 1760029300 | Cassandra Matukas | Community/Behavioral Health | 1326 Ocean Ave Apt 1h, Brooklyn, NY 11230-3249 | 2019-12-02 |
| 1902441504 | Radiant Self Therapy LLC | Community/Behavioral Health | 68 Hausman St Apt 3, Brooklyn, NY 11222-7111 | 2019-11-07 |
| 1629620224 | Healthy Family Social Daycare Inc | Community/Behavioral Health | 864 56th St # 1a, Brooklyn, NY 11220-3616 | 2019-07-12 |
| 1821553678 | Allomothering Inc | Community/Behavioral Health | 84 Marion St Apt 1, Brooklyn, NY 11233-2103 | 2019-02-06 |
| 1619495512 | Global Trauma Research Inc. | Community/Behavioral Health | 2329 Nostrand Ave Ste 100, Brooklyn, NY 11210-3949 | 2017-08-31 |
| 1760917603 | Flatbush Treatment Addiction Center | Community/Behavioral Health | 595 Coney Island Ave, 2a, Brooklyn, NY 11218-4374 | 2017-04-28 |
| 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.