THE CHILD CENTER OF NY, INC. (NPI# 1801945738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801945738 |
| Entity Type | Organization |
| Organization Name | THE CHILD CENTER OF NY, INC. |
| Other Organization Name | WOODSIDE CLINIC |
| Practice Address |
6714 41st Ave Woodside NY 11377-3790 |
| Mailing Address |
6002 Queens Blvd Lower Level Woodside NY 11377-4973 |
| Practice Telephone | 7184584243 |
| Practice Fax Number | 7184584481 |
| Mailing Telephone | 7186517770 |
| Mailing Fax Number | 7186515029 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MS. JEAN M COPPOLA (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 7186517770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 7403085 | 01 |
| NY | 00244371 | 05 | |
| NY | BLUE CROSS BLUE SHIELD | WV0071 | 01 |
| Other Name | Type Code |
|---|---|
| Woodside Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346399540 | The Child Center of Ny, Inc. | Clinic/Center | 8956 162nd St, 2nd Floor, Jamaica, NY 11432-5072 | 2007-01-09 |
| 1639228596 | The Child Center of Ny, Inc. | Case Management | 6002 Queens Blvd, The Ira Meyer Children's Center, Woodside, NY 11377-4973 | 2007-01-09 |
| 1962551143 | The Child Center of Ny, Inc. | Clinic/Center | 8114 Queens Blvd, Elmhurst, NY 11373-3789 | 2007-01-09 |
| 1467622423 | The Child Center of Ny, Inc. | Community/Behavioral Health | 6002 Queens Blvd, Woodside, NY 11377-4973 | 2008-03-06 |
| 1518016237 | The Child Center of Ny, Inc. | Clinic/Center | 8114 Queens Blvd, Elmhurst, NY 11373-3789 | 2007-01-10 |
| 1881743508 | The Child Center of Ny, Inc. | Clinic/Center | 8956 162nd St, 3rd Floor, Jamaica, NY 11432-5072 | 2007-01-10 |
| 1053460774 | The Child Center of Ny, Inc. | Clinic/Center | 14015b Sanford Ave, Flushing, NY 11355-2557 | 2007-01-10 |
| 1649329806 | The Child Center of Ny, Inc. | Clinic/Center | 11835 Queens Blvd, 6th Floor, Forest Hills, NY 11375-7211 | 2007-01-09 |
| 1841349032 | The Child Center of Ny, Inc. | Clinic/Center | 14015b Sanford Ave, 2nd Floor, Flushing, NY 11355-2557 | 2007-01-09 |
| 1235288333 | The Child Center of Ny, Inc. | Clinic/Center | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2007-01-09 |
| Street Address |
6714 41ST AVE |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-3790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982711669 | Jessica Elizabeth Barrera-morales | Social Worker | 6714 41st Ave, Woodside, NY 11377-8128 | 2006-08-25 |
| 1538766746 | Chantel Rosado | Student in an Organized Health Care Education/Training Program | 6714 41st Ave, Woodside, NY 11377-8128 | 2020-10-01 |
| 1881212587 | Jazmin Fortuna | Counselor | 6714 41st Ave, Woodside, NY 11377-8128 | 2020-07-09 |
| 1609498278 | Nicole M Stroke | Social Worker | 6714 41st Ave, Woodside, NY 11377-8128 | 2020-05-17 |
| 1407495088 | Alejandro Penaloza | Counselor | 6714 41st Ave, Woodside, NY 11377-8128 | 2019-12-31 |
| 1942849591 | Daniela Arnao | Student in an Organized Health Care Education/Training Program | 6714 41st Ave, Woodside, NY 11377-8128 | 2019-12-30 |
| 1184272973 | Jeni Nestler | Student in an Organized Health Care Education/Training Program | 6714 41st Ave, Woodside, NY 11377-8128 | 2019-08-27 |
| 1609424266 | Kevin Tyler Hale | Social Worker | 6714 41st Ave, Woodside, NY 11377-8128 | 2019-08-27 |
| 1518515170 | Rina Solis | Social Worker | 6714 41st Ave, Woodside, NY 11377-8128 | 2019-08-27 |
| 1881176923 | Stacey Ruiz | Counselor | 6714 41st Ave, Woodside, NY 11377-8128 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215029079 | County of San Mateo | Clinic/Center | 199 Churchill Ave, Woodside, CA 94062-1151 | 2006-09-29 |
| 1952571929 | The Child Center of Ny | Clinic/Center | 6002 Roosevelt Ave, Woodside, NY 11377-3538 | 2008-03-06 |
| 1134399108 | The Child Center of Ny | Clinic/Center | 6002 Roosevelt Ave, Woodside, NY 11377-3538 | 2008-03-06 |
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| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1023560380 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2016-11-02 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1306236294 | The Brain Boosters, Inc. | Clinic/Center | 333 Jericho Tpke, Suite 200, Jericho, NY 11753-1100 | 2015-01-29 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
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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.