YOUNG ADULT INSTITUTE (NPI# 1629469341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629469341 |
| Entity Type | Organization |
| Organization Name | YOUNG ADULT INSTITUTE |
| Practice Address |
888 Fountain Ave Brooklyn NY 11239-5907 |
| Mailing Address |
460 W 34th St New York NY 10001-2320 |
| Practice Telephone | 2122736206 |
| Mailing Telephone | 2122736206 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | MATTHEW STURIALE (CEO) |
| Authorized Official Telephone | 2122736206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 6113102 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215126685 | Young Adult Institute | Community/Behavioral Health | 8308 Liberty Rd, Baltimore, MD 21244-3105 | 2007-10-22 |
| 1194903302 | Young Adult Institute | Community/Behavioral Health | 8308 Liberty Rd, Baltimore, MD 21244-3105 | 2008-02-11 |
| Street Address |
888 FOUNTAIN AVE |
| 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 |
| 1063884914 | Young Adult Institute, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 888 Fountain Ave, Wing 214, Brooklyn, NY 11239-5907 | 2015-10-30 |
| 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 |
| 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 | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376916668 | Independent Living Association, Inc. | Intermediate Care Facility, Mentally Retarded | 110 York St Fl 4, Brooklyn, NY 11201-1412 | 2015-11-09 |
| 1093139776 | Heartshare Human Services of New York | Intermediate Care Facility, Mentally Retarded | 12 Metrotech Ctr Fl 29, Brooklyn, NY 11201-3858 | 2014-02-14 |
| 1578843975 | Elmys Special Services | Intermediate Care Facility, Mentally Retarded | 163 Van Buren St, Brooklyn, NY 11221-1318 | 2011-08-17 |
| 1881982346 | Heartshare Human Sevices of New York | Intermediate Care Facility, Mentally Retarded | 131 Bay 19th St, 1st Floor, Brooklyn, NY 11214-4607 | 2011-07-19 |
| 1205139847 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 418 Grove St Unit A, Brooklyn, NY 11237-5507 | 2010-12-20 |
| 1023311669 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 418 Grove St Unit B, Brooklyn, NY 11237-5507 | 2010-12-20 |
| 1336309954 | Pesach Tikvah Hope Development Inc. | Intermediate Care Facility, Mentally Retarded | 274 Division Ave, Brooklyn, NY 11211-7305 | 2008-06-17 |
| 1639348022 | Mercy Home for Childen, Inc. | Intermediate Care Facility, Mentally Retarded | 345 Warren St, Brooklyn, NY 11201-6412 | 2008-02-29 |
| 1386813772 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 114 Sixth Avenue, Brooklyn, NY 11217-4417 | 2008-02-29 |
| 1720258155 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 259 North 5th Street, Brooklyn, NY 11211-3325 | 2008-02-29 |
| 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.