COMMUNITY COUNSELING & MEDIATION (NPI# 1639393101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639393101 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING & MEDIATION |
| Other Organization Name | TREATMENT ANOTHER PLACE |
| Practice Address |
115 W 31st St 5th Floor New York NY 10001-3403 |
| Practice Telephone | 2125646006 |
| Practice Fax Number | 2125643440 |
| Mailing Telephone | 2125646006 |
| Mailing Fax Number | 2125643440 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EMORY XAVIER BROOKS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7188020666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 7655430 | NY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Treatment Another Place | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| Street Address |
115 W 31ST ST 5TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417507252 | Sara Caci | Counselor | 115 W 31st St, New York, NY 10001-3596 | 2019-09-13 |
| 1558845701 | Kaylee Dueber | Counselor | 115 W 31st St, New York, NY 10001-3596 | 2018-09-23 |
| 1215464631 | Community Counseling and Mediation | Community/Behavioral Health | 115 W 31st St, 5th Floor, New York, NY 10001-3596 | 2017-05-16 |
| 1306297494 | Johanna Milord | Counselor | 115 W 31st St, 5th Floor, New York, NY 10001-3596 | 2016-06-29 |
| 1679922207 | Briana Ryan | Counselor | 115 W 31st St, 5th Fl, New York, NY 10001-3596 | 2016-06-04 |
| 1881028959 | Katie Ann Trinovitch | Counselor | 115 W 31st St, 5th Floor, New York, NY 10001-3596 | 2013-08-26 |
| 1053697177 | Tetyana Irvin | Social Worker | 115 W 31st St, 5 Floor, New York, NY 10001-3596 | 2011-11-03 |
| 1962676437 | Pascale Genevieve Beauboeuf-roane | Social Worker | 115 W 31st St, 5th Floor, New York, NY 10001-3596 | 2008-04-16 |
| 1720252471 | Althea Lucille Jureidini | Social Worker | 115 W 31st St, 5th Floor, New York, NY 10001-3596 | 2008-04-14 |
| 1457555187 | Women In Need, Inc. | Community/Behavioral Health | 115 W 31st St, New York, NY 10001-3403 | 2007-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1295351948 | Basha Gillian Silver | Psychologist | 544 Fifth Avenue, 10th Floor, New York, NY 10001 | 2020-06-18 |
| 1881219038 | Janice Elizabeth Williams, L.c.s.w., P.C. | Social Worker | 244 5th Ave, Suite W218, New York, NY 10001 | 2020-06-13 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1043831522 | Anderson Hong | Counselor | 352 7th Avenue, Suite 1604, New York, NY 10001 | 2020-05-06 |
| 1689207193 | Emely Castillo | Registered Nurse | 116 W 32nd St, New York, New York, New York, NY 10001 | 2020-02-13 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1811533201 | Jacqueline Furst | Social Worker | 138 West 25th Street, 6th Floor, /suite 22, New York, NY 10001 | 2019-11-21 |
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1437709896 | Hannah Murray Starobin | Social Worker | 302 5th Avenue, 8th Floor #2, New York City, NY 10001 | 2019-09-18 |
| Find all providers in zip 10001 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374448 | Takenya Tanyette Benbow | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th Street 6th Floor, Jewish Board of Family and Children Services, New York, NY 10020 | 2011-10-27 |
| 1902081524 | Jewish Board of Family and Children's Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th St, 6th Floor, New York, NY 10020 | 2008-01-02 |
| 1548544810 | Keisha Finney | Residential Treatment Facility, Emotionally Disturbed Children | 135 W 50th St, 6 Floor, New York, NY 10020-1201 | 2011-10-05 |
| 1689859209 | Jewish Board of Family and Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 120 W 57th St, New York, NY 10019-3320 | 2008-01-02 |
| 1538344155 | The Jewish Board of Family and Children's Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th St, 6th Floor, New York, NY 10020 | 2008-01-02 |
| 1316122948 | Jewish Board of Family and Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th St, 6th Floor, New York, NY 10020 | 2008-01-02 |
| 1265617898 | Jewish Board of Family and Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th St, 6th Floor, New York, NY 10020 | 2008-01-02 |
| 1770768384 | Jewish Board of Family and Children's Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th St, 6th Floor, New York, NY 10020 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013360361 | Jesse Brand | Residential Treatment Facility, Emotionally Disturbed Children | 60 Forrest Ave, Shirley, NY 11967-1955 | 2016-07-21 |
| 1285040600 | Sean Bedford | Residential Treatment Facility, Emotionally Disturbed Children | 7 Scarlett Ct, Apt 16, New City, NY 10956-5030 | 2014-07-07 |
| 1336575703 | Education Plus Corp | Residential Treatment Facility, Emotionally Disturbed Children | 431 Chapel Hill Rd, Hancock, NY 13783-2248 | 2013-09-17 |
| 1578905212 | Jewish Child Care Association | Residential Treatment Facility, Emotionally Disturbed Children | 671 Osborn St, Brooklyn, NY 11212-5745 | 2013-07-23 |
| 1538419973 | Scott Fierman Services | Residential Treatment Facility, Emotionally Disturbed Children | 31 Ohayo Mountain Rd, Woodstock, NY 12498-1441 | 2012-09-13 |
| 1720377757 | Lidia Kupiec Lmsw | Residential Treatment Facility, Emotionally Disturbed Children | 178 Bradley Rd, Scarsdale, NY 10583-6343 | 2011-03-30 |
| 1912202482 | Adirondack Leadership Expeditions | Residential Treatment Facility, Emotionally Disturbed Children | 82 Church St, Saranac Lake, NY 12983-1858 | 2011-01-14 |
| 1891016192 | Access: Supports for Living Inc | Residential Treatment Facility, Emotionally Disturbed Children | 87 Little Britain Rd, Newburgh, NY 12550-5113 | 2010-06-21 |
| 1356675151 | Ohel Childrens Home & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1498 E 34 St, Brooklyn, NY 11234 | 2009-09-25 |
| 1437385879 | Teaching Family Plainview | Residential Treatment Facility, Emotionally Disturbed Children | 4 Sunrise St, Plainview, NY 11803-4613 | 2009-05-29 |
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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.